Healthcare Provider Details

I. General information

NPI: 1780108522
Provider Name (Legal Business Name): U ACUPUNCTURE HEALTH CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2017
Last Update Date: 10/01/2023
Certification Date: 10/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39210 STATE ST STE 117
FREMONT CA
94538-1456
US

IV. Provider business mailing address

1613 S MAIN ST STE 101
MILPITAS CA
95035-6295
US

V. Phone/Fax

Practice location:
  • Phone: 510-733-0202
  • Fax: 408-263-3239
Mailing address:
  • Phone: 510-733-0202
  • Fax: 408-263-3239

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number17169
License Number StateCA

VIII. Authorized Official

Name: DR. XIN WANG
Title or Position: CEO
Credential:
Phone: 510-733-0202