Organization
MICHAEL NIAN PENG SHI, L.AC., PH.D.
Active
Other names
Nian Peng Shi, L.Ac.,Ph.D.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. NIAN PENG SHI MSTCM, PH.D. (OWNER)
(510) 704-8888
Entity
Organization
Contact information
Practice address
1919 ADDISON ST, SUITE 101, BERKELEY, CA 94704-1141
(510) 704-8888
(510) 704-1875
Mailing address
1919 ADDISON ST, SUITE 101, BERKELEY, CA 94704-1141
(510) 704-8888
(510) 704-1875
Taxonomy
Speciality
Code
Description
License number
State
261QM2500X
Medical Specialty Clinic/Center
Primary
AC4182
CA
Other
Enumeration date
12/20/2010
Last updated
12/20/2010
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