Provider Demographics
NPI:1801432158
Name:YONGKANG HEALTHCARE INC
Entity type:Organization
Organization Name:YONGKANG HEALTHCARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:BUYONG
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-725-5846
Mailing Address - Street 1:6690 AMADOR PLAZA RD STE 215
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2949
Mailing Address - Country:US
Mailing Address - Phone:925-725-5846
Mailing Address - Fax:
Practice Address - Street 1:6690 AMADOR PLAZA RD STE 215
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2949
Practice Address - Country:US
Practice Address - Phone:925-725-5846
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-21
Last Update Date:2022-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty