Provider Demographics
NPI:1366988065
Name:JULIECAO ACUPUNCTURE INCORPORATED
Entity type:Organization
Organization Name:JULIECAO ACUPUNCTURE INCORPORATED
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHUN
Authorized Official - Middle Name:
Authorized Official - Last Name:CAO
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-988-6988
Mailing Address - Street 1:3074A SCOTT BLVD
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95054-3325
Mailing Address - Country:US
Mailing Address - Phone:408-988-6988
Mailing Address - Fax:408-988-6988
Practice Address - Street 1:3074A SCOTT BLVD
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95054-3325
Practice Address - Country:US
Practice Address - Phone:408-988-6988
Practice Address - Fax:408-988-6988
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-18
Last Update Date:2017-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 7439171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty