Healthcare Provider Details

I. General information

NPI: 1912836453
Provider Name (Legal Business Name): PANDA ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2026
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

30313 CANWOOD ST STE 23
AGOURA HILLS CA
91301-2034
US

IV. Provider business mailing address

30313 CANWOOD ST STE 23
AGOURA HILLS CA
91301-2034
US

V. Phone/Fax

Practice location:
  • Phone: 818-651-9899
  • Fax:
Mailing address:
  • Phone: 818-651-9899
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: TAIPING GAO
Title or Position: CEO
Credential:
Phone: 626-999-2226