Healthcare Provider Details

I. General information

NPI: 1124974837
Provider Name (Legal Business Name): YINGYING WANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10011 N FOOTHILL BLVD STE 110
CUPERTINO CA
95014-5649
US

IV. Provider business mailing address

3240 FALMOUTH ST
SAN JOSE CA
95132-1905
US

V. Phone/Fax

Practice location:
  • Phone: 626-788-6127
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20552
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: