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Contact Information

EMPIRE TRADITIONAL CHINESE MEDICINE
1030 SECOND ST
SANTA ROSA, CA95404
 Phone: 707-978-6465
 Fax: 707-202-6898
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for EMPIRE TRADITIONAL CHINESE MEDICINE

NPI Number 1376084699
LBN Legal business name EMPIRE TRADITIONAL CHINESE MEDICINE
Authorized official MICHAEL JOHNSTON - (LICENSED ACUPUNCTURIST)
Entity Organization
Organization subpart 1 No
Enumeration date 03/20/2017
Last updated 03/20/2017 - About 9 years ago
Identifiers
CA License # AC 9474
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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