Healthcare Provider Details

I. General information

NPI: 1427980341
Provider Name (Legal Business Name): WHITE CEDAR ACUPUNCTURE A PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/03/2026
Last Update Date: 06/03/2026
Certification Date: 06/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

747 ALTOS OAKS DR STE 1
LOS ALTOS CA
94024-5433
US

IV. Provider business mailing address

747 ALTOS OAKS DR STE 1
LOS ALTOS CA
94024-5433
US

V. Phone/Fax

Practice location:
  • Phone: 669-669-1142
  • Fax:
Mailing address:
  • Phone: 669-669-1142
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: XINWEN YU
Title or Position: OWNER
Credential:
Phone: 916-804-0201