Healthcare Provider Details

I. General information

NPI: 1568142644
Provider Name (Legal Business Name): YANG ACUPUNCTURE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2023
Last Update Date: 03/23/2026
Certification Date: 03/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3873 QUANTUM DR UNIT 401
FREMONT CA
94538-6860
US

IV. Provider business mailing address

3873 QUANTUM DR UNIT 401
FREMONT CA
94538-6860
US

V. Phone/Fax

Practice location:
  • Phone: 669-263-6000
  • 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: NGUYEN SHI
Title or Position: MANAGER
Credential:
Phone: 408-453-5434