Healthcare Provider Details

I. General information

NPI: 1578429981
Provider Name (Legal Business Name): XINWEN YU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/30/2025
Last Update Date: 07/03/2026
Certification Date: 07/03/2026
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

555 OLD COUNTY RD STE 100
SAN CARLOS CA
94070-2517
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: