Healthcare Provider Details

I. General information

NPI: 1730963950
Provider Name (Legal Business Name): YAO ACPUNCTURE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2023
Last Update Date: 08/21/2023
Certification Date: 08/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 STOCKTON ST
SAN FRANCISCO CA
94108-2121
US

IV. Provider business mailing address

820 STOCKTON ST
SAN FRANCISCO CA
94108-2121
US

V. Phone/Fax

Practice location:
  • Phone: 415-398-9999
  • Fax:
Mailing address:
  • Phone: 415-398-9999
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JIAN YAO
Title or Position: DACCHM
Credential:
Phone: 415-645-3401