Provider Demographics
NPI:1992225833
Name:OAKLAND HILLS ACUPUNCTURE CORP.
Entity type:Organization
Organization Name:OAKLAND HILLS ACUPUNCTURE CORP.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:HERON
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:510-982-1875
Mailing Address - Street 1:4400 KELLER AVE STE 250
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94605-4232
Mailing Address - Country:US
Mailing Address - Phone:510-982-1875
Mailing Address - Fax:510-730-3920
Practice Address - Street 1:4400 KELLER AVE STE 250
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94605-4232
Practice Address - Country:US
Practice Address - Phone:510-982-1875
Practice Address - Fax:510-730-3920
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-21
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15595171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty