Healthcare Provider Details
I. General information
NPI: 1336304161
Provider Name (Legal Business Name): NEWEM INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/21/2008
Last Update Date: 07/21/2008
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1572 LOS PADRES BLVD STE 201
SANTA CLARA CA
95050-4472
US
IV. Provider business mailing address
1572 LOS PADRES BLVD STE 201
SANTA CLARA CA
95050-4472
US
V. Phone/Fax
- Phone: 408-246-3559
- Fax:
- Phone: 408-246-3559
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC12203 |
| License Number State | CA |
VIII. Authorized Official
Name:
CHEOL
HO
WON
Title or Position: OWNER
Credential: AC
Phone: 408-246-3559