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General NPI Number Information
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NPI Number | 1225297294
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Entity Type | Organization
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Legal Business Name | CALIFORNIA HOLISTIC HEALTH CENTER
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Dates
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Enumeration Date | 06/05/2008
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Last Update Date | 07/31/2008
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Provider Practice Location Address
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Address Line | 20445 PACIFICA DR SUITE A
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City | CUPERTINO
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State | CA
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Zip | 95014
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Country | US
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Telephone | 650-703-9636
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Fax |
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Provider Business Mailing Address
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Address Line | 635 PARTRIDGE AVE APT A
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City | MENLO PARK
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State | CA
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Zip | 94025
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Country | US
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Telephone | 650-703-9636
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | HIDENORI ANTO
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Credential |
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Telephone | 650-703-9636
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC9851
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License Number State | CA
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