Healthcare Provider Details

I. General information

NPI: 1033395231
Provider Name (Legal Business Name): AIMC BERKELEY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/17/2008
Last Update Date: 01/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2550 SHATTUCK AVE
BERKELEY CA
94704-2724
US

IV. Provider business mailing address

2550 SHATTUCK AVE
BERKELEY CA
94704-2724
US

V. Phone/Fax

Practice location:
  • Phone: 510-666-8234
  • Fax:
Mailing address:
  • Phone: 510-666-8234
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRUCE ROBINSON
Title or Position: PRESIDENT
Credential: M.D.
Phone: 510-666-8234