Provider Demographics
NPI:1104232818
Name:WU ACUPUNCTURE HERBAL INC.
Entity type:Organization
Organization Name:WU ACUPUNCTURE HERBAL INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:YONGYI
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-362-7276
Mailing Address - Street 1:640 FRANCISCO ST
Mailing Address - Street 2:APT 1214
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94133-1724
Mailing Address - Country:US
Mailing Address - Phone:415-361-2018
Mailing Address - Fax:
Practice Address - Street 1:835 CLAY ST
Practice Address - Street 2:SUITE 102
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94108-1647
Practice Address - Country:US
Practice Address - Phone:415-362-7276
Practice Address - Fax:415-362-3788
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-07-02
Last Update Date:2014-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8350171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty