Provider Demographics
NPI:1104497056
Name:GOLDEN ROAD ACUPUNCTURE AND WELLNESS PC
Entity type:Organization
Organization Name:GOLDEN ROAD ACUPUNCTURE AND WELLNESS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:JOSHUA
Authorized Official - Last Name:VOLK
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:707-734-3044
Mailing Address - Street 1:230 TERESITA BLVD
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94127-1729
Mailing Address - Country:US
Mailing Address - Phone:707-734-3044
Mailing Address - Fax:
Practice Address - Street 1:140 GREGORY LN STE 105
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-3395
Practice Address - Country:US
Practice Address - Phone:925-280-6026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-01
Last Update Date:2021-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty