Healthcare Provider Details

I. General information

NPI: 1356277891
Provider Name (Legal Business Name): ANN SHINE ACUPUNCTURE & HEALTH, PROF, CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/22/2026
Last Update Date: 06/22/2026
Certification Date: 06/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1699 EL CAMINO REAL STE 109
MILLBRAE CA
94030-1273
US

IV. Provider business mailing address

1699 EL CAMINO REAL STE 109
MILLBRAE CA
94030-1273
US

V. Phone/Fax

Practice location:
  • Phone: 415-368-2337
  • Fax:
Mailing address:
  • Phone: 415-368-2337
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DR. ANNIE HUNG MUI TSANG
Title or Position: L.AC
Credential: ACUPUNCTURIST
Phone: 415-368-2337