=====================================================
General NPI Number Information
=====================================================
NPI Number | 1942494075
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | THREE TREASURES ACUPUNCTURE, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 08/31/2007
-----------------------------------------------------
Last Update Date | 08/31/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 4190 BONITA RD SUITE 207
-----------------------------------------------------
City | BONITA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91902-1329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-267-6050
-----------------------------------------------------
Fax | 619-267-6056
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4190 BONITA RD SUITE 207
-----------------------------------------------------
City | BONITA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91902-1329
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-267-6050
-----------------------------------------------------
Fax | 619-267-6056
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MS. DONNA H KATER
-----------------------------------------------------
Credential | L.AC
-----------------------------------------------------
Telephone | 619-267-6050
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 225700000X
-----------------------------------------------------
Taxonomy Name | Massage Therapist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------