Healthcare Provider Details

I. General information

NPI: 1609022052
Provider Name (Legal Business Name): ANKANG ACUPUNCTURE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2008
Last Update Date: 08/15/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 CALIFORNIA ST STE 120
MOUNTAIN VIEW CA
94041-2810
US

IV. Provider business mailing address

800 CALIFORNIA ST STE 120
MOUNTAIN VIEW CA
94041-2810
US

V. Phone/Fax

Practice location:
  • Phone: 650-969-2034
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number7989
License Number StateCA

VIII. Authorized Official

Name: MS. LI ZHANG
Title or Position: OWNER
Credential: LAC
Phone: 650-969-2034