Provider Demographics
NPI:1992134035
Name:CA HEALTH & ACUPUNCTURE
Entity type:Organization
Organization Name:CA HEALTH & ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISER
Authorized Official - Prefix:
Authorized Official - First Name:JUDY
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:650-968-8665
Mailing Address - Street 1:257 CASTRO ST
Mailing Address - Street 2:#223
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94041-1285
Mailing Address - Country:US
Mailing Address - Phone:650-968-8665
Mailing Address - Fax:650-968-8665
Practice Address - Street 1:257 CASTRO ST
Practice Address - Street 2:#223
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94041-1285
Practice Address - Country:US
Practice Address - Phone:650-968-8665
Practice Address - Fax:650-968-8665
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-08
Last Update Date:2013-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
171100000X
CA7064171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty