ACUPUNCTURE LIS TCM HEALTH CENTER


Address: 2005 De La Cruz Blvd, Suite 168, Santa Clara, CA 95050-3013
Phone: 6508151203

ACUPUNCTURE LIS TCM HEALTH CENTER (NPI# 1417079781) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417079781
Entity Type Organization
Organization Name ACUPUNCTURE LIS TCM HEALTH CENTER
Other Organization Name LIS TCM HEALTH CENTER
Practice Address 2005 De La Cruz Blvd
Suite 168
Santa Clara
CA 95050-3013
Mailing Address 320 Curtner Ave
Unit A
Palo Alto
CA 94306-3486
Practice Telephone 6508151203
Mailing Telephone 6508151203
Enumeration Date 2007-04-06
Last Update Date 2009-09-04
Authorized Official Name RUI LI (ACUPUNCTURIST)
Authorized Official Telephone 6508151203
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QP3300X Clinic/Center
Specialization: Pain
Ambulatory Health Care Facilities

Other Provider/Organization Names

Other Name Type Code
Lis TCM Health Center Doing Business As Name - Organization

Office Location

Street Address 2005 DE LA CRUZ BLVD
SUITE 168
City SANTA CLARA
State CA
Zip Code 95050-3013

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Taxonomy Information

Taxonomy Code 261QP3300X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Pain

Taxonomy Definition

Definition to come...

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Competitor

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City SANTA CLARA
Zip Code 95050

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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