1942494075 NPI number — THREE TREASURES ACUPUNCTURE, INC.

Table of content: JOSHUA JAMES PRICE C.D.C.A (NPI 1336637560)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1942494075 NPI number — THREE TREASURES ACUPUNCTURE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
THREE TREASURES ACUPUNCTURE, INC.
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:
6
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:
1942494075
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/31/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4190 BONITA RD
Provider Second Line Business Mailing Address:
SUITE 207
Provider Business Mailing Address City Name:
BONITA
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
91902-1329
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
619-267-6050
Provider Business Mailing Address Fax Number:
619-267-6056

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4190 BONITA RD
Provider Second Line Business Practice Location Address:
SUITE 207
Provider Business Practice Location Address City Name:
BONITA
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
91902-1329
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
619-267-6050
Provider Business Practice Location Address Fax Number:
619-267-6056
Provider Enumeration Date:
08/31/2007

Additional Information

Authorized Official

Authorized Official Last Name:
KATER
Authorized Official First Name:
DONNA
Authorized Official Middle Name:
H
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
619-267-6050

Provider Taxonomy Codes

  • Taxonomy code: 225700000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 171100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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