Healthcare Provider Details

I. General information

NPI: 1285775650
Provider Name (Legal Business Name): JEN-JY TSAI L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

485 LOS COCHES ST
MILPITAS CA
95035-5422
US

IV. Provider business mailing address

1242 BYRON ST
PALO ALTO CA
94301-3212
US

V. Phone/Fax

Practice location:
  • Phone: 408-946-9332
  • Fax: 408-946-9303
Mailing address:
  • Phone: 650-325-5711
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 7914
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: