Healthcare Provider Details

I. General information

NPI: 1184704652
Provider Name (Legal Business Name): YAT KI LAI, ACUPUNCTURE PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/17/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 GEARY BLVD
SAN FRANCISCO CA
94115-3367
US

IV. Provider business mailing address

2400 GEARY BLVD
SAN FRANCISCO CA
94115-3367
US

V. Phone/Fax

Practice location:
  • Phone: 415-922-1818
  • Fax: 415-922-1822
Mailing address:
  • Phone: 415-922-1818
  • Fax: 415-922-1822

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC164
License Number StateCA

VIII. Authorized Official

Name: DR. YAT KI LAI
Title or Position: PRESIDENT
Credential: L. AC., OMD
Phone: 415-922-1818