Provider Demographics
| NPI: | 1134876170 |
|---|---|
| Name: | YURIM ACUPUNCTURE INC |
| Entity type: | Organization |
| Organization Name: | YURIM ACUPUNCTURE INC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | CEO |
| Authorized Official - Prefix: | |
| Authorized Official - First Name: | WAN |
| Authorized Official - Middle Name: | |
| Authorized Official - Last Name: | KIM |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | LAC |
| Authorized Official - Phone: | 408-645-8232 |
| Mailing Address - Street 1: | 100 SARATOGA AVE STE 110 |
| Mailing Address - Street 2: | |
| Mailing Address - City: | SANTA CLARA |
| Mailing Address - State: | CA |
| Mailing Address - Zip Code: | 95051-7337 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 408-645-8232 |
| Mailing Address - Fax: | 408-217-2410 |
| Practice Address - Street 1: | 100 SARATOGA AVE STE 110 |
| Practice Address - Street 2: | |
| Practice Address - City: | SANTA CLARA |
| Practice Address - State: | CA |
| Practice Address - Zip Code: | 95051-7337 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 408-645-8232 |
| Practice Address - Fax: | 408-217-2410 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2022-03-09 |
| Last Update Date: | 2024-08-19 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization | Group |
|---|---|---|---|---|---|
| Yes | 171100000X | Other Service Providers | Acupuncturist | Group - Multi-Specialty | |
| No | 111N00000X | Chiropractic Providers | Chiropractor | Group - Multi-Specialty |