Healthcare Provider Details

I. General information

NPI: 1063370666
Provider Name (Legal Business Name): CHAO GU
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/13/2026
Last Update Date: 01/13/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1040 N RENGSTORFF AVE STE A4
MOUNTAIN VIEW CA
94043-1761
US

IV. Provider business mailing address

2806 CENTERWOOD CT
SAN JOSE CA
95148-2653
US

V. Phone/Fax

Practice location:
  • Phone: 541-220-6241
  • Fax:
Mailing address:
  • Phone: 541-220-6241
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20474
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: