Healthcare Provider Details
I. General information
NPI: 1427884303
Provider Name (Legal Business Name): TRANQUILITY ACUPUNCTURE HEALING CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/09/2024
Last Update Date: 03/15/2025
Certification Date: 03/15/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
191 SAND CREEK RD STE 230
BRENTWOOD CA
94513-2261
US
IV. Provider business mailing address
6200 CRYSTAL SPRINGS CIR
DISCOVERY BAY CA
94505-2629
US
V. Phone/Fax
- Phone: 925-393-1418
- Fax:
- Phone: 925-393-1418
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 225700000X |
| Taxonomy | Massage Therapist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: MR.
CHADRON
M
HARWOOD
III
Title or Position: CEO
Credential:
Phone: 925-393-1418