Healthcare Provider Details
I. General information
NPI: 1184374167
Provider Name (Legal Business Name): ALLCARE ACUPUNCTURE AND HERB CLINIC CORP
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2022
Last Update Date: 03/24/2022
Certification Date: 03/24/2022
Deactivation Date:
Reactivation Date:
III. Provider practice location address
4986 CHERRY AVE
SAN JOSE CA
95118-2748
US
IV. Provider business mailing address
2122 MONTEREY HWY APT 312
SAN JOSE CA
95112-6153
US
V. Phone/Fax
- Phone: 408-593-6847
- Fax:
- Phone: 669-224-5528
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
RUILI
ZHANG
Title or Position: ACUPUNCTURIST/CEO
Credential:
Phone: 408-593-6847