Healthcare Provider Details

I. General information

NPI: 1982535522
Provider Name (Legal Business Name): SANSHENGTANG ACUPUNCTURE AND HERBAL INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1225 CRANE ST STE 109
MENLO PARK CA
94025-4253
US

IV. Provider business mailing address

1225 CRANE ST STE 109
MENLO PARK CA
94025-4253
US

V. Phone/Fax

Practice location:
  • Phone: 650-469-3390
  • Fax:
Mailing address:
  • Phone: 650-469-3390
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: SHANSHAN LIU
Title or Position: OWNER
Credential:
Phone: 929-204-5068