Healthcare Provider Details

I. General information

NPI: 1376062877
Provider Name (Legal Business Name): BERKELEY ACUPUNCTURE PROJECT, P.C.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2017
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1834 UNIVERSITY AVE
BERKELEY CA
94703-1516
US

IV. Provider business mailing address

1834 UNIVERSITY AVE
BERKELEY CA
94703-1516
US

V. Phone/Fax

Practice location:
  • Phone: 510-845-1100
  • Fax:
Mailing address:
  • Phone: 510-845-1100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number12041
License Number StateCA

VIII. Authorized Official

Name: JULIA CARPENTER
Title or Position: CEO
Credential: L.AC.
Phone: 510-845-1100