Healthcare Provider Details
I. General information
NPI: 1447941737
Provider Name (Legal Business Name): DAOSHENGYI YONGHE HEALTH CARE
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 05/17/2023
Last Update Date: 05/17/2023
Certification Date: 05/17/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
872 PARK DR APT 2
MOUNTAIN VIEW CA
94040-2540
US
IV. Provider business mailing address
872 PARK DR APT 2
MOUNTAIN VIEW CA
94040-2540
US
V. Phone/Fax
- Phone: 510-617-9523
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
HONGBIN
ZHU
Title or Position: OWNER
Credential:
Phone: 510-617-9523