Provider Demographics
NPI:1174951511
Name:BITTER TASTE SWEET HEALTH
Entity type:Organization
Organization Name:BITTER TASTE SWEET HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURISTS
Authorized Official - Prefix:MISS
Authorized Official - First Name:XIAO HONG
Authorized Official - Middle Name:
Authorized Official - Last Name:YU
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-586-8901
Mailing Address - Street 1:1243 GENEVA AVE
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94112-3823
Mailing Address - Country:US
Mailing Address - Phone:415-586-8901
Mailing Address - Fax:
Practice Address - Street 1:1243 GENEVA AVE
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94112-3823
Practice Address - Country:US
Practice Address - Phone:415-586-8901
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-10-22
Last Update Date:2013-10-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 13072171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty