MEDICARE: MING-LAN KANG ACUPUNCTURIST

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	18275	CA

General Provider Information

NPI Number	:	1689147266
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MING-LAN KANG ACUPUNCTURIST

Provider Business Mailing Address
First Line	:	4066 ALBERSTONE DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95130-1504
Country	:	US
Telephone Number	:	650-282-0731
Fax Number	:

Provider Business Practice Location Address
First Line	:	4066 ALBERSTONE DR
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95130-1504
Country	:	US
Telephone Number	:	650-282-0731
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/07/2019
Last Update Date	:	10/14/2020

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Directions to “ MING-LAN KANG ACUPUNCTURIST” Practice Location

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