THIEN LAKE ACUPUNCTURE (NPI# 1073042628) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1073042628 |
Entity Type | Organization |
Organization Name | THIEN LAKE ACUPUNCTURE |
Practice Address |
3654 Grand Aveune Oakland CA 94610 |
Mailing Address |
3654 Grand Ave Oakland CA 94610-2008 |
Practice Telephone | 5105605575 |
Mailing Telephone | 5105605575 |
Enumeration Date | 2017-06-07 |
Last Update Date | 2018-01-18 |
Authorized Official Name | HUONG THIEN HOANG (OWNER) |
Authorized Official Telephone | 5105605575 |
Authorized Official Credential | L.AC. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QH0100X |
Clinic/Center Specialization: Health Service |
Ambulatory Health Care Facilities |
Street Address |
3654 GRAND AVEUNE |
City | OAKLAND |
State | CA |
Zip Code | 94610 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1467944033 | Danielle Elissa Comerford | Marriage & Family Therapist | 370 Grand Ave Ste 4, Oakland, CA 94610 | 2018-05-30 |
1508239302 | Montserrat Corsino | Acupuncturist | 493 Prince St, Oakland, CA 94610 | 2015-11-03 |
1376978593 | Mazen Abudllah Basidiq | Registered Nurse | 271 Jayne Ave. Suite # 11, Oakland, CA 94610 | 2013-09-06 |
1740523026 | Katiah Llerena | Psychologist | 414 Lake Park Ave, #595, Oakland, CA 94610 | 2013-04-04 |
1033459409 | Shelly Lynn Henderson-hansen | Speech-Language Pathologist | 3756 Grand Ave, Suite 401, Oakland, CA 94610 | 2013-02-22 |
1013267806 | Sara-jean Lizabeth Bartky | Speech-Language Pathologist | 55 Santa Clara Ave #203, Oakland, CA 94610 | 2012-09-19 |
1053667139 | Juanita Lerma Hernandez-morin | Counselor | 1375 55th Street, Emeryville, CA 94610 | 2012-07-26 |
1396030672 | Catherine Maness | Marriage & Family Therapist | 123 Bay Place, Ste 6, Oakland, CA 94610 | 2011-06-14 |
1871807529 | Jaime Beth Levy | Marriage & Family Therapist | 1001 Warfield Ave Apt 103, Oakland, CA 94610 | 2010-08-04 |
1649584723 | Leticia Mendoza-sobel | Dentist | 1333 Grand Avenue, Piedmont, CA 94610 | 2010-08-02 |
Find all providers in zip 94610 |
Taxonomy Code | 261QH0100X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Health Service |
Definition to come... |
Notes: [7/1/2006: modified title] |
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1508047960 | P Daniel Miller D.o., P.a. | Clinic/Center | 69 Wolf Acres Dr, Oakland, MD 21550-2046 | 2007-11-14 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.