Provider Demographics
NPI:1053523258
Name:GEDDES, GAOPING (LAC)
Entity type:Individual
Prefix:
First Name:GAOPING
Middle Name:
Last Name:GEDDES
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 11430
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-0430
Mailing Address - Country:US
Mailing Address - Phone:510-547-8893
Mailing Address - Fax:510-547-4893
Practice Address - Street 1:471 W MACARTHUR BLVD
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-2808
Practice Address - Country:US
Practice Address - Phone:510-547-8893
Practice Address - Fax:510-547-4893
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-03
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC5916171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist