Healthcare Provider Details

I. General information

NPI: 1821851031
Provider Name (Legal Business Name): KANEKO JONES ACUPUNCTURE PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/31/2024
Last Update Date: 01/31/2024
Certification Date: 01/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1738 SOLANO AVE
BERKELEY CA
94707-2215
US

IV. Provider business mailing address

830 PAGE ST
BERKELEY CA
94710-1450
US

V. Phone/Fax

Practice location:
  • Phone: 510-558-0117
  • Fax:
Mailing address:
  • Phone: 510-332-2789
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LAUREN KANEKO-JONES
Title or Position: PRESIDENT, CEO
Credential: L.AC.
Phone: 510-332-2789