1932747516 NPI number — EFFOROS ACUPUNCTURE

Table of content: CINDY MARIE MCVEY NP (NPI 1811942923)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1932747516 NPI number — EFFOROS ACUPUNCTURE

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EFFOROS ACUPUNCTURE
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1932747516
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
12/14/2019
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1549 MOZART ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ALAMEDA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
94501-3425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
510-825-4439
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
450 PARK ST STE 102
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ALAMEDA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
94501-6257
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
510-825-4439
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
12/14/2019

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
WANG
Authorized Official First Name:
JULIE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
510-825-4439

Provider Taxonomy Codes

  • Taxonomy code: 171100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)