Healthcare Provider Details

I. General information

NPI: 1720720980
Provider Name (Legal Business Name): HONEY TUN
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/08/2022
Last Update Date: 04/20/2026
Certification Date: 04/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6140 STONERIDGE MALL RD
PLEASANTON CA
94588-3232
US

IV. Provider business mailing address

6140 STONERIDGE MALL RD
PLEASANTON CA
94588-3232
US

V. Phone/Fax

Practice location:
  • Phone: 844-737-0894
  • Fax:
Mailing address:
  • Phone: 844-737-0894
  • Fax: 925-397-3116

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: