Healthcare Provider Details

I. General information

NPI: 1225843626
Provider Name (Legal Business Name): BERKELEY WELLNESS CENTER PROFESSIONAL ACUPUNCTURE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/11/2025
Last Update Date: 03/01/2025
Certification Date: 03/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1614 WOOLSEY ST APT D
BERKELEY CA
94703-2384
US

IV. Provider business mailing address

1614 WOOLSEY ST APT D
BERKELEY CA
94703-2384
US

V. Phone/Fax

Practice location:
  • Phone: 415-810-0417
  • Fax:
Mailing address:
  • Phone: 415-810-0417
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES GUNTHER
Title or Position: CEO
Credential: DAOM, LAC, CMT
Phone: 415-810-0417