Healthcare Provider Details

I. General information

NPI: 1265508758
Provider Name (Legal Business Name): ACM HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/27/2006
Last Update Date: 07/14/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

417 N SAN MATEO DR
SAN MATEO CA
94401-2417
US

IV. Provider business mailing address

417 N SAN MATEO DR
SAN MATEO CA
94401-2417
US

V. Phone/Fax

Practice location:
  • Phone: 650-524-1925
  • Fax: 650-215-9919
Mailing address:
  • Phone: 650-524-1925
  • Fax: 650-215-9919

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: DR. SUE LIN
Title or Position: OWNER
Credential: OMD LAC
Phone: 650-579-5560