Provider Demographics
NPI:1316780406
Name:DUAN ACUPUNCTURE CLINIC INC
Entity type:Organization
Organization Name:DUAN ACUPUNCTURE CLINIC INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:QIONGLIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:DUAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-230-9051
Mailing Address - Street 1:990 W FREMONT AVE STE W
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-3065
Mailing Address - Country:US
Mailing Address - Phone:408-230-9051
Mailing Address - Fax:
Practice Address - Street 1:990 W FREMONT AVE STE W
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-3065
Practice Address - Country:US
Practice Address - Phone:408-230-9051
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-17
Last Update Date:2024-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty