Healthcare Provider Details

I. General information

NPI: 1255286068
Provider Name (Legal Business Name): DONGFANG ACUPUNCTURE CLINIC INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2026
Last Update Date: 04/24/2026
Certification Date: 04/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

835 CLAY ST STE 102
SAN FRANCISCO CA
94108-1639
US

IV. Provider business mailing address

835 CLAY ST STE 102
SAN FRANCISCO CA
94108-1639
US

V. Phone/Fax

Practice location:
  • Phone: 415-812-9458
  • Fax:
Mailing address:
  • Phone: 415-812-9458
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DONGFANG LIAO
Title or Position: ACUPUNCTURIST
Credential:
Phone: 415-812-9458