# EMPIRE TRADITIONAL CHINESE MEDICINE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376084699
- **Authorized official:** MICHAEL JOHNSTON L.AC. (LICENSED ACUPUNCTURIST)
- **Authorized official phone:** (707) 978-6465

## Contact information

- **Practice address:** 1030 SECOND ST, SANTA ROSA, CA 95404
- **Practice address phone:** (707) 978-6465
- **Practice address fax:** (707) 202-6898
- **Mailing address:** 1030 SECOND ST, SANTA ROSA, CA 95404
- **Mailing address phone:** (707) 978-6465
- **Mailing address fax:** (707) 202-6898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC 9474 | CA | Yes |

## Other

- **Enumeration date:** 03/20/2017
- **Last updated:** 03/20/2017