Healthcare Provider Details

I. General information

NPI: 1164564209
Provider Name (Legal Business Name): QUAN YIN HEALING ARTS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/13/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

455 VALENCIA ST
SAN FRANCISCO CA
94103-3416
US

IV. Provider business mailing address

455 VALENCIA ST
SAN FRANCISCO CA
94103-3416
US

V. Phone/Fax

Practice location:
  • Phone: 415-861-4964
  • Fax: 415-861-0579
Mailing address:
  • Phone: 415-861-4964
  • Fax: 415-861-0579

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number StateCA

VIII. Authorized Official

Name: MEGHAN FRANCISCO
Title or Position: DIRECTOR OF CLIENT SERVICES
Credential:
Phone: 415-861-4964