Healthcare Provider Details

I. General information

NPI: 1427059989
Provider Name (Legal Business Name): XIAOFEN SHEN MD, L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/09/2005
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

105 SOUTH DR STE 130
MOUNTAIN VIEW CA
94040-4317
US

IV. Provider business mailing address

105 SOUTH DR STE 130
MOUNTAIN VIEW CA
94040-4317
US

V. Phone/Fax

Practice location:
  • Phone: 408-221-6458
  • Fax:
Mailing address:
  • Phone: 408-221-6458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number04551
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: