MEDICARE: LOS ALTOS ACUPUNCTURE CENTER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC. 0045510	CA

General Provider Information

NPI Number	:	1508087271
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOS ALTOS ACUPUNCTURE CENTER

Provider Business Mailing Address
First Line	:	811 ALTOS OAKS DR STE 1
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5427
Country	:	US
Telephone Number	:	408-221-6458
Fax Number	:	650-228-1528

Provider Business Practice Location Address
First Line	:	811 ALTOS OAKS DR STE 1
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5427
Country	:	US
Telephone Number	:	408-221-6458
Fax Number	:	650-559-0719

Authorized Official
Title or Position	:	L.AC.
Name	:	PROF. XIAOFEN SHEN
Credential	:	L.AC.
Telephone Number	:	408-221-6458

Provider Enumeration Date	:	05/01/2007
Last Update Date	:	09/27/2024

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Directions to “LOS ALTOS ACUPUNCTURE CENTER ” Practice Location

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