Provider Demographics
NPI:1487980447
Name:ACUPUNCTURE FOR ATHLETICS
Entity type:Organization
Organization Name:ACUPUNCTURE FOR ATHLETICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURE
Authorized Official - Prefix:MR
Authorized Official - First Name:ANDREW
Authorized Official - Middle Name:
Authorized Official - Last Name:CASTELLANOS
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:415-377-5863
Mailing Address - Street 1:1996 UNION STREET
Mailing Address - Street 2:3RD FLOOR
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94123
Mailing Address - Country:US
Mailing Address - Phone:415-377-5863
Mailing Address - Fax:
Practice Address - Street 1:1996 UNION STREET
Practice Address - Street 2:3RD FLOOR
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94123
Practice Address - Country:US
Practice Address - Phone:415-377-5863
Practice Address - Fax:530-865-8593
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-27
Last Update Date:2014-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty