Healthcare Provider Details

I. General information

NPI: 1538071048
Provider Name (Legal Business Name): PEIYING CHEN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/21/2026
Last Update Date: 09/21/2026
Certification Date: 09/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

440 GRAND AVE STE 401
OAKLAND CA
94610-5032
US

IV. Provider business mailing address

440 GRAND AVE STE 401
OAKLAND CA
94610-5032
US

V. Phone/Fax

Practice location:
  • Phone: 510-900-9063
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20523
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: