Provider Demographics
NPI:1962944868
Name:ACUBENE ACUPUNCTURE & HEALTH MEDICAL GROUP INC
Entity type:Organization
Organization Name:ACUBENE ACUPUNCTURE & HEALTH MEDICAL GROUP INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:JANNET
Authorized Official - Middle Name:
Authorized Official - Last Name:BARK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:408-691-6870
Mailing Address - Street 1:7567 AMADOR VALLEY BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2442
Mailing Address - Country:US
Mailing Address - Phone:925-828-7575
Mailing Address - Fax:925-828-7574
Practice Address - Street 1:7567 AMADOR VALLEY BLVD STE 105
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2442
Practice Address - Country:US
Practice Address - Phone:925-828-7575
Practice Address - Fax:925-828-7574
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ACUBENE ACUPUNCTURE & HEALTH MEDICAL GROUP INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2016-11-08
Last Update Date:2016-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service