# ID ACUPUNCTURE INC.

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

## Provider details

- **NPI number:** 1841951340
- **Authorized official:** MR. BYOUNG WOOK MIN L.AC. (MANAGER)
- **Authorized official phone:** (510) 895-8912

## Contact information

- **Practice address:** 13851 E 14TH ST STE 203, SAN LEANDRO, CA 94578-2627
- **Practice address phone:** (510) 895-8912
- **Practice address fax:** (510) 895-8930
- **Mailing address:** 13851 E 14TH ST STE 203, SAN LEANDRO, CA 94578-2627
- **Mailing address phone:** (510) 895-8912
- **Mailing address fax:** (510) 895-8930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2022
- **Last updated:** 01/06/2022