Provider Demographics
NPI:1366908840
Name:TANG ACUPUNCTURE CLINIC CORPORATION
Entity type:Organization
Organization Name:TANG ACUPUNCTURE CLINIC CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:CAI PING
Authorized Official - Middle Name:DINA
Authorized Official - Last Name:TANG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:408-306-0360
Mailing Address - Street 1:21040 HOMESTEAD RD 102#
Mailing Address - Street 2:102#
Mailing Address - City:CUPERTINO
Mailing Address - State:CA
Mailing Address - Zip Code:95014-0238
Mailing Address - Country:US
Mailing Address - Phone:408-306-0360
Mailing Address - Fax:408-743-5445
Practice Address - Street 1:21040 HOMESTEAD RD 102#
Practice Address - Street 2:102#
Practice Address - City:CUPERTINO
Practice Address - State:CA
Practice Address - Zip Code:95014-0238
Practice Address - Country:US
Practice Address - Phone:408-306-0360
Practice Address - Fax:408-743-5445
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty