Healthcare Provider Details

I. General information

NPI: 1588121032
Provider Name (Legal Business Name): HOPE INTEGRATIVE ACUPUNCTURE AND REHABILITATION SERVICES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/20/2019
Last Update Date: 02/20/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15466 LOS GATOS BLVD STE 109187
LOS GATOS CA
95032-2542
US

IV. Provider business mailing address

15466 LOS GATOS BLVD STE 109187
LOS GATOS CA
95032-2542
US

V. Phone/Fax

Practice location:
  • Phone: 408-480-8875
  • Fax:
Mailing address:
  • Phone: 408-480-8875
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. JAMES C LU
Title or Position: PRESIDENT
Credential: LAC, DPT
Phone: 832-202-7666