Provider Demographics
NPI:1285380774
Name:LION'S HEART ACUPUNCTURE & WELLNESS, INC.
Entity type:Organization
Organization Name:LION'S HEART ACUPUNCTURE & WELLNESS, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:KIMBERLEY
Authorized Official - Middle Name:ROSE
Authorized Official - Last Name:PEIRANO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:925-286-8367
Mailing Address - Street 1:503 D ST STE 4
Mailing Address - Street 2:
Mailing Address - City:SAN RAFAEL
Mailing Address - State:CA
Mailing Address - Zip Code:94901-3864
Mailing Address - Country:US
Mailing Address - Phone:415-366-6708
Mailing Address - Fax:
Practice Address - Street 1:503 D ST STE 4
Practice Address - Street 2:
Practice Address - City:SAN RAFAEL
Practice Address - State:CA
Practice Address - Zip Code:94901-3864
Practice Address - Country:US
Practice Address - Phone:415-366-6708
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-23
Last Update Date:2022-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty