Provider Demographics
NPI:1124668439
Name:JING CHENG ACUPUNCTURE CLINIC
Entity type:Organization
Organization Name:JING CHENG ACUPUNCTURE CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:XIANGYING
Authorized Official - Middle Name:
Authorized Official - Last Name:WEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-862-2198
Mailing Address - Street 1:10353 TORRE AVE STE B
Mailing Address - Street 2:
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-3217
Mailing Address - Country:US
Mailing Address - Phone:650-862-2198
Mailing Address - Fax:
Practice Address - Street 1:10353 TORRE AVE STE B
Practice Address - Street 2:
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-3217
Practice Address - Country:US
Practice Address - Phone:650-862-2198
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:YUAN MING ACUPUNCTURE CLINIC INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-01-14
Last Update Date:2020-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty