Healthcare Provider Details

I. General information

NPI: 1639635295
Provider Name (Legal Business Name): NEW IMAGE WELLNESS DBA SPRING ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/19/2019
Last Update Date: 03/26/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 DIXON RD
MILPITAS CA
95035-2501
US

IV. Provider business mailing address

135 DIXON RD
MILPITAS CA
95035-2501
US

V. Phone/Fax

Practice location:
  • Phone: 408-945-1859
  • Fax:
Mailing address:
  • Phone: 408-945-1859
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHUNXIU ZHOU
Title or Position: PRESIDENT/CEO
Credential:
Phone: 510-709-6343