Healthcare Provider Details
I. General information
NPI: 1497085625
Provider Name (Legal Business Name): NATURAL HEALTH CARE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 01/11/2010
Last Update Date: 01/11/2010
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7151 AMADOR PLAZA RD
DUBLIN CA
94568-2317
US
IV. Provider business mailing address
7151 AMADOR PLAZA RD
DUBLIN CA
94568-2317
US
V. Phone/Fax
- Phone: 415-867-7775
- Fax:
- Phone: 415-867-7775
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NIYA
XIE
Title or Position: OFFICE MANAGER
Credential:
Phone: 415-867-7775