Healthcare Provider Details

I. General information

NPI: 1235075334
Provider Name (Legal Business Name): CL&CG LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6175 MISSION ST
DALY CITY CA
94014-2002
US

IV. Provider business mailing address

6175 MISSION ST
DALY CITY CA
94014-2002
US

V. Phone/Fax

Practice location:
  • Phone: 650-977-0520
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CUILI GAO
Title or Position: OWNER
Credential:
Phone: 650-977-0520