Healthcare Provider Details

I. General information

NPI: 1508087271
Provider Name (Legal Business Name): LOS ALTOS ACUPUNCTURE CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2007
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 NumberAC. 0045510
License Number StateCA

VIII. Authorized Official

Name: XIAOFEN SHEN
Title or Position: EMPLOYEE
Credential:
Phone: 650-948-8483