Healthcare Provider Details

I. General information

NPI: 1588129258
Provider Name (Legal Business Name): YING CUI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/06/2019
Last Update Date: 02/06/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1728 FRANKLIN ST
OAKLAND CA
94612-3408
US

IV. Provider business mailing address

2021 YORKSHIRE PL
ALAMEDA CA
94501-6039
US

V. Phone/Fax

Practice location:
  • Phone: 510-919-1819
  • Fax:
Mailing address:
  • Phone: 510-386-1145
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC18373
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: