Provider Demographics
NPI:1699141333
Name:SAN BRUNO ACUPRESSURE
Entity type:Organization
Organization Name:SAN BRUNO ACUPRESSURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLING MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:TIANLIN
Authorized Official - Middle Name:
Authorized Official - Last Name:LI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-616-9098
Mailing Address - Street 1:53 CRONIN DR
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-6719
Mailing Address - Country:US
Mailing Address - Phone:408-480-3006
Mailing Address - Fax:408-984-2455
Practice Address - Street 1:1474 EL CAMINO REAL
Practice Address - Street 2:
Practice Address - City:SAN BRUNO
Practice Address - State:CA
Practice Address - Zip Code:94066-5301
Practice Address - Country:US
Practice Address - Phone:650-616-9098
Practice Address - Fax:650-616-9098
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-17
Last Update Date:2015-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty