MEDICARE: MU ELEMENT ACUPUNCTURE INC.

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	AC15990	CA

General Provider Information

NPI Number	:	1881132603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MU ELEMENT ACUPUNCTURE INC.

Provider Business Mailing Address
First Line	:	827 ALTOS OAKS DR
Second Line	:	SUITE #4
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5495
Country	:	US
Telephone Number	:	650-690-8007
Fax Number	:	650-690-8007

Provider Business Practice Location Address
First Line	:	827 ALTOS OAKS DR
Second Line	:	SUITE #4
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5495
Country	:	US
Telephone Number	:	650-690-8007
Fax Number	:	650-690-8007

Authorized Official
Title or Position	:	ACUPUNCTRIST/OWNER
Name	:	MS. SITU SUN
Credential	:	L.AC
Telephone Number	:	650-690-8007

Provider Enumeration Date	:	02/01/2017
Last Update Date	:	11/28/2018

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