Healthcare Provider Details
I. General information
NPI: 1306199716
Provider Name (Legal Business Name): ACUPUNCTURE & INTEGRATIVE HEALTH PROGRAMS INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 10/23/2012
Last Update Date: 10/23/2012
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2729 WEBSTER ST
SAN FRANCISCO CA
94123-4720
US
IV. Provider business mailing address
2729 WEBSTER ST
SAN FRANCISCO CA
94123-4720
US
V. Phone/Fax
- Phone: 415-298-4105
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC12510 |
| License Number State | CA |
VIII. Authorized Official
Name:
LAUREN
SCHIERMEYER
Title or Position: PRESIDENT
Credential:
Phone: 415-298-9347