MEDICARE: BERKELEY HEALTH ACUPUNCTURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC15390	CA

General Provider Information

NPI Number	:	1265816235
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BERKELEY HEALTH ACUPUNCTURE

Provider Business Mailing Address
First Line	:	2140 SHATTUCK AVE
Second Line	:	STE 510
City	:	BERKELEY
State	:	CA
Zip	:	94704-1210
Country	:	US
Telephone Number	:	415-988-1619
Fax Number	:

Provider Business Practice Location Address
First Line	:	2140 SHATTUCK AVE
Second Line	:	STE 510
City	:	BERKELEY
State	:	CA
Zip	:	94704-1210
Country	:	US
Telephone Number	:	415-988-1619
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	ZHEN WANG
Credential	:
Telephone Number	:	415-988-1619

Provider Enumeration Date	:	07/19/2015
Last Update Date	:	07/19/2015

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Directions to “BERKELEY HEALTH ACUPUNCTURE ” Practice Location

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