Healthcare Provider Details

I. General information

NPI: 1689830705
Provider Name (Legal Business Name): CHINESE ACUPUNCTURE INSTITUTE OF NEW MEXICO
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2008
Last Update Date: 09/28/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7900 PENNSYLVANIA CIR NE SUITE A
ALBUQUERQUE NM
87110-7827
US

IV. Provider business mailing address

7900 PENNSYLVANIA CIR NE SUITE A
ALBUQUERQUE NM
87110-7827
US

V. Phone/Fax

Practice location:
  • Phone: 505-265-5168
  • Fax: 505-265-5168
Mailing address:
  • Phone: 505-265-5168
  • Fax: 505-265-5168

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number419/417
License Number StateNM

VIII. Authorized Official

Name: DR. WEI ZHOU
Title or Position: DOCTOR OF ORIENTAL MEDICINE/OWNER
Credential: DOM
Phone: 505-265-5168