Provider Demographics
NPI:1194410456
Name:CAI'S CLINIC OF ACUPUNCTURE & HERBS
Entity type:Organization
Organization Name:CAI'S CLINIC OF ACUPUNCTURE & HERBS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LISHU
Authorized Official - Middle Name:
Authorized Official - Last Name:HICKOK
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:760-338-8213
Mailing Address - Street 1:4530 CORONADO DR
Mailing Address - Street 2:
Mailing Address - City:OCEANSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92057-4251
Mailing Address - Country:US
Mailing Address - Phone:760-338-8213
Mailing Address - Fax:760-306-5908
Practice Address - Street 1:2170 S EL CAMINO REAL STE 109-112
Practice Address - Street 2:
Practice Address - City:OCEANSIDE
Practice Address - State:CA
Practice Address - Zip Code:92054-6203
Practice Address - Country:US
Practice Address - Phone:760-338-8213
Practice Address - Fax:760-306-5908
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:TCM ACUPUNCTURE & HERBS CENTER CO
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-04-11
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty