Provider Demographics
NPI:1548091994
Name:LEAVES OF HEALING ACUPUNCTURE AND HOLISTIC MEDICINE CORPORATION
Entity type:Organization
Organization Name:LEAVES OF HEALING ACUPUNCTURE AND HOLISTIC MEDICINE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/DIRECTOR OF BUSINESS
Authorized Official - Prefix:DR
Authorized Official - First Name:EMMA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CHIANG
Authorized Official - Suffix:
Authorized Official - Credentials:DAOM, LAC
Authorized Official - Phone:415-309-7594
Mailing Address - Street 1:6229 SHELTER CREEK LN
Mailing Address - Street 2:
Mailing Address - City:SAN BRUNO
Mailing Address - State:CA
Mailing Address - Zip Code:94066-3870
Mailing Address - Country:US
Mailing Address - Phone:650-451-5249
Mailing Address - Fax:
Practice Address - Street 1:1801 BUSH ST STE 120
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94109-5273
Practice Address - Country:US
Practice Address - Phone:650-451-5249
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-08-08
Last Update Date:2024-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty