MEDICARE: WOMEN'S HEALTH RESEARCH WITH CHINESE MEDICINE

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	AC15617	CA

General Provider Information

NPI Number	:	1861979841
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOMEN'S HEALTH RESEARCH WITH CHINESE MEDICINE

Provider Business Mailing Address
First Line	:	690 W FREMONT AVE STE 4
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-4202
Country	:	US
Telephone Number	:	408-832-7690
Fax Number	:

Provider Business Practice Location Address
First Line	:	690 W FREMONT AVE STE 4
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-4202
Country	:	US
Telephone Number	:	408-832-7690
Fax Number	:

Authorized Official
Title or Position	:	CHIEF EXECUTIVE OFFICER
Name	:	VALERIE JEAN SZYMANSKI
Credential	:
Telephone Number	:	650-772-1172

Provider Enumeration Date	:	07/23/2018
Last Update Date	:	07/23/2018

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