Healthcare Provider Details

I. General information

NPI: 1760900443
Provider Name (Legal Business Name): YIFENG ACUPUNCTURE,INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2017
Last Update Date: 09/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

647 VETERANS BLVD
REDWOOD CITY CA
94063
US

IV. Provider business mailing address

647 VETERANS BLVD
REDWOOD CITY CA
94063-1408
US

V. Phone/Fax

Practice location:
  • Phone: 408-868-2866
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: XIAOGUANG SUN
Title or Position: CO-OWNER
Credential: LAC
Phone: 408-868-2866