Healthcare Provider Details

I. General information

NPI: 1427972413
Provider Name (Legal Business Name): OPAL ACUPUNCTURE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/05/2026
Last Update Date: 08/05/2026
Certification Date: 08/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3080 LANDESS AVE
SAN JOSE CA
95132-1120
US

IV. Provider business mailing address

3080 LANDESS AVE
SAN JOSE CA
95132-1120
US

V. Phone/Fax

Practice location:
  • Phone: 510-648-0237
  • Fax: 669-280-7913
Mailing address:
  • Phone: 510-648-0237
  • Fax: 669-280-7913

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: YU SHAN LU CHEN
Title or Position: CEO
Credential:
Phone: 510-996-2636