Healthcare Provider Details
I. General information
NPI: 1114777463
Provider Name (Legal Business Name): REDWOOD SHORES ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/26/2024
Last Update Date: 04/21/2026
Certification Date: 04/21/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
345 9TH ST STE 303
OAKLAND CA
94607-6523
US
IV. Provider business mailing address
345 9TH ST STE 303
OAKLAND CA
94607-6523
US
V. Phone/Fax
- Phone: 510-813-6699
- Fax: 510-335-8399
- 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:
YING
HUANG
Title or Position: OWNER
Credential:
Phone: 510-813-6699