Healthcare Provider Details

I. General information

NPI: 1669389508
Provider Name (Legal Business Name): DR. AMY'S INTEGRATIVE MEDICINE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/26/2026
Last Update Date: 08/26/2026
Certification Date: 08/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

855 STOCKTON ST STE B
SAN FRANCISCO CA
94108-2175
US

IV. Provider business mailing address

855 STOCKTON ST STE B
SAN FRANCISCO CA
94108-2175
US

V. Phone/Fax

Practice location:
  • Phone: 510-541-7068
  • Fax:
Mailing address:
  • Phone: 510-541-7068
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: AMY LI MATECKI
Title or Position: PRESIDENT
Credential: MD
Phone: 510-541-7068