Healthcare Provider Details

I. General information

NPI: 1992134035
Provider Name (Legal Business Name): CA HEALTH & ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/08/2013
Last Update Date: 11/08/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

257 CASTRO ST #223
MOUNTAIN VIEW CA
94041-1285
US

IV. Provider business mailing address

257 CASTRO ST #223
MOUNTAIN VIEW CA
94041-1285
US

V. Phone/Fax

Practice location:
  • Phone: 650-968-8665
  • Fax: 650-968-8665
Mailing address:
  • Phone: 650-968-8665
  • Fax: 650-968-8665

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number7064
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: JUDY WU
Title or Position: SUPERVISER
Credential:
Phone: 650-968-8665