Healthcare Provider Details

I. General information

NPI: 1285564948
Provider Name (Legal Business Name): CAROL CHEN ACUPUNCTURE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

341 CASTRO ST STE D
MOUNTAIN VIEW CA
94041
US

IV. Provider business mailing address

341 CASTRO ST STE D
MOUNTAIN VIEW CA
94041
US

V. Phone/Fax

Practice location:
  • Phone: 408-660-5403
  • Fax: 408-414-7732
Mailing address:
  • Phone: 408-660-5403
  • Fax: 408-414-7732

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HUIBO CHEN
Title or Position: CLINICAL MANAGER
Credential: L.AC DAOM
Phone: 408-660-5403