Organization
ACUPUNCTURE PROFESSIONALS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NICHOLAS C. O'DONNELL L.AC (PRESIDENT)
(415) 412-8841
Entity
Organization
Contact information
Practice address
862 FOLSOM ST, SAN FRANCISCO, CA 94107-1123
(415) 412-8841
Mailing address
862 FOLSOM ST, SAN FRANCISCO, CA 94107-1123
(415) 412-8841
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC9133
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ50491Z
BLUE SHIELD OF CALIFORNIA PIN
CA
Enumeration date
05/22/2008
Last updated
05/22/2008
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