Provider Demographics
NPI:1619022761
Name:ON POINT ACUPUNCTURE, INC.-
Entity type:Organization
Organization Name:ON POINT ACUPUNCTURE, INC.-
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:MICHAEL
Authorized Official - Last Name:HALL
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:510-705-8755
Mailing Address - Street 1:2346 STUART ST
Mailing Address - Street 2:
Mailing Address - City:BERKELEY
Mailing Address - State:CA
Mailing Address - Zip Code:94705-1109
Mailing Address - Country:US
Mailing Address - Phone:510-705-8755
Mailing Address - Fax:510-705-8520
Practice Address - Street 1:2346 STUART ST
Practice Address - Street 2:
Practice Address - City:BERKELEY
Practice Address - State:CA
Practice Address - Zip Code:94705-1109
Practice Address - Country:US
Practice Address - Phone:510-705-8755
Practice Address - Fax:510-705-8520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-25
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11334261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care