Provider Demographics
NPI:1912696527
Name:YUAN ACUHEALING CORPORATION
Entity type:Organization
Organization Name:YUAN ACUHEALING CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:L.AC
Authorized Official - Prefix:
Authorized Official - First Name:WENSHENG
Authorized Official - Middle Name:
Authorized Official - Last Name:MU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-935-5185
Mailing Address - Street 1:1785 SAN CARLOS AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:SAN CARLOS
Mailing Address - State:CA
Mailing Address - Zip Code:94070-2026
Mailing Address - Country:US
Mailing Address - Phone:650-642-5937
Mailing Address - Fax:
Practice Address - Street 1:1785 SAN CARLOS AVE STE 3
Practice Address - Street 2:
Practice Address - City:SAN CARLOS
Practice Address - State:CA
Practice Address - Zip Code:94070-2026
Practice Address - Country:US
Practice Address - Phone:650-642-5937
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-01
Last Update Date:2023-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty