Provider Demographics
NPI:1861777963
Name:GAO ACUPUNCTURE & WELLNESS CENTER
Entity type:Organization
Organization Name:GAO ACUPUNCTURE & WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:HONGMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:GAO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:925-735-1818
Mailing Address - Street 1:1981 N BROADWAY STE 248
Mailing Address - Street 2:
Mailing Address - City:WALNUT CREEK
Mailing Address - State:CA
Mailing Address - Zip Code:94596-3854
Mailing Address - Country:US
Mailing Address - Phone:925-735-1818
Mailing Address - Fax:925-938-1343
Practice Address - Street 1:1981 N BROADWAY STE 248
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-3854
Practice Address - Country:US
Practice Address - Phone:925-735-1818
Practice Address - Fax:925-938-1343
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-20
Last Update Date:2011-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization