Organization
INSTITUTE FOR TRADITIONAL ACUPUNCTURE AND HERBOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKI SHIMA N.D., O.M.D., L.AC. (PRESIDENT)
(415) 924-2910
Entity
Organization
Contact information
Practice address
21 TAMAL VISTA BLVD, SUITE 110, CORTE MADERA, CA 94925-1130
(415) 924-2910
(415) 924-5072
Mailing address
21 TAMAL VISTA BLVD, SUITE 110, CORTE MADERA, CA 94925-1130
(415) 924-2910
(415) 924-5072
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 10122
CA
171100000X
Acupuncturist
AC 4943
CA
171100000X
Acupuncturist
AC 970
CA
207R00000X
Internal Medicine Physician
G62455
CA
Other
Enumeration date
11/28/2006
Last updated
09/11/2025
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