MEDICARE: JING CHEN 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	LAC8652	CA
2	171100000X	Acupuncturist	AC8652	CA

General Provider Information

NPI Number	:	1740353606
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JING CHEN ACUPUNCTURIST

Provider Business Mailing Address
First Line	:	18526 VINA DR
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95033
Country	:	US
Telephone Number	:	408-828-5401
Fax Number	:	408-730-9085

Provider Business Practice Location Address
First Line	:	2542 SOUTH BASCOM AVE STE 155
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008
Country	:	US
Telephone Number	:	408-828-5401
Fax Number	:	408-730-9085

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

Provider Enumeration Date	:	11/16/2006
Last Update Date	:	01/22/2024

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Directions to “ JING CHEN ACUPUNCTURIST” Practice Location

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