MEDICARE: MASSAGE HEALTH CENTER

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		CA

General Provider Information

NPI Number	:	1902212483
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MASSAGE HEALTH CENTER

Provider Business Mailing Address
First Line	:	1711 N MILPITAS BLVD
Second Line	:	1717
City	:	MILPITAS
State	:	CA
Zip	:	95035-2727
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1711 N MILPITAS BLVD
Second Line	:	1717
City	:	MILPITAS
State	:	CA
Zip	:	95035-2727
Country	:	US
Telephone Number	:	408-930-1585
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ZHANG QIONGGUI
Credential	:
Telephone Number	:	408-930-1585

Provider Enumeration Date	:	07/07/2014
Last Update Date	:	07/07/2014

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Directions to “MASSAGE HEALTH CENTER ” Practice Location

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