Healthcare Provider Details

I. General information

NPI: 1649040130
Provider Name (Legal Business Name): YUEH TSAI LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/05/2024
Last Update Date: 12/24/2025
Certification Date: 12/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1407 WEBSTER ST STE 209
OAKLAND CA
94612-3283
US

IV. Provider business mailing address

1407 WEBSTER ST STE 209
OAKLAND CA
94612-3283
US

V. Phone/Fax

Practice location:
  • Phone: 415-689-4512
  • Fax:
Mailing address:
  • Phone: 415-689-4512
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC19883
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: