Healthcare Provider Details

I. General information

NPI: 1164073870
Provider Name (Legal Business Name): ACUMED ACUPUNCTURE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/24/2019
Last Update Date: 01/13/2020
Certification Date: 01/13/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

37982 FREMONT BLVD
FREMONT CA
94536-5029
US

IV. Provider business mailing address

37982 FREMONT BLVD
FREMONT CA
94536-5029
US

V. Phone/Fax

Practice location:
  • Phone: 408-667-3298
  • Fax:
Mailing address:
  • Phone: 408-667-3298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHIA CHI WANG
Title or Position: DAOM
Credential: CHIA CHI WANG
Phone: 408-667-3298