Healthcare Provider Details
I. General information
NPI: 1326981002
Provider Name (Legal Business Name): NEW HERBAL CLINIC LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/09/2026
Last Update Date: 04/09/2026
Certification Date: 04/09/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
486 BARBER LN
MILPITAS CA
95035-7998
US
IV. Provider business mailing address
486 BARBER LN
MILPITAS CA
95035-7998
US
V. Phone/Fax
- Phone: 408-646-1077
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
QIONGJIE
LIU
Title or Position: OPERATION MANAGER
Credential:
Phone: 408-646-1077