MEDICARE: DR. CHAU AI AU L.AC.

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	AC3733	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	AC3733	OTHER	CA	ACUPUNCTURE LICENSE #

General Provider Information

NPI Number	:	1740214717
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CHAU AI AU L.AC.

Provider Business Mailing Address
First Line	:	3935 THAINWOOD WAY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95121-1460
Country	:	US
Telephone Number	:	408-363-8388
Fax Number	:	408-363-8122

Provider Business Practice Location Address
First Line	:	4070 MONTEREY HWY
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95111-3633
Country	:	US
Telephone Number	:	408-363-8388
Fax Number	:	408-363-8122

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

Provider Enumeration Date	:	07/10/2006
Last Update Date	:	07/09/2007

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Directions to “ DR. CHAU AI AU L.AC.” Practice Location

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