Provider Demographics
NPI:1861959918
Name:NEW LIFE HERBS &ACUPUNCTURE INC.
Entity type:Organization
Organization Name:NEW LIFE HERBS &ACUPUNCTURE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BILLER MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:CHEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:415-307-2345
Mailing Address - Street 1:1350 GRANT RD STE 11A
Mailing Address - Street 2:
Mailing Address - City:MOUNTAIN VIEW
Mailing Address - State:CA
Mailing Address - Zip Code:94040-5216
Mailing Address - Country:US
Mailing Address - Phone:650-386-1019
Mailing Address - Fax:
Practice Address - Street 1:1350 GRANT RD STE 11A
Practice Address - Street 2:
Practice Address - City:MOUNTAIN VIEW
Practice Address - State:CA
Practice Address - Zip Code:94040-5216
Practice Address - Country:US
Practice Address - Phone:650-386-1019
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-25
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty