Organization
DINA FIDEL ACUPUNCTURE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DINA FIDEL L.AC. (OWNER)
(408) 481-4763
Entity
Organization
Contact information
Practice address
167 E FREMONT AVE, SUNNYVALE, CA 94087-2501
(408) 481-4763
Mailing address
167 E FREMONT AVE, SUNNYVALE, CA 94087-2501
(408) 481-4763
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC7658
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1821206038
INDIVIDUAL NPI
CA
Enumeration date
06/04/2014
Last updated
06/04/2014
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