Provider Demographics
NPI:1548727746
Name:777 ACUPUNCTURE & HEALTH CENTER
Entity type:Organization
Organization Name:777 ACUPUNCTURE & HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:QIFEI
Authorized Official - Middle Name:
Authorized Official - Last Name:TENG
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:408-505-0028
Mailing Address - Street 1:4063 MICHAEL AVE
Mailing Address - Street 2:
Mailing Address - City:FREMONT
Mailing Address - State:CA
Mailing Address - Zip Code:94538-4135
Mailing Address - Country:US
Mailing Address - Phone:408-505-0028
Mailing Address - Fax:
Practice Address - Street 1:46249 WARM SPRINGS BLVD # 1
Practice Address - Street 2:
Practice Address - City:FREMONT
Practice Address - State:CA
Practice Address - Zip Code:94539-7026
Practice Address - Country:US
Practice Address - Phone:510-979-9298
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-23
Last Update Date:2019-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes276400000XHospital UnitsRehabilitation, Substance Use Disorder Unit