Healthcare Provider Details

I. General information

NPI: 1831042480
Provider Name (Legal Business Name): HUI JIANG
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/16/2026
Last Update Date: 02/16/2026
Certification Date: 02/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4155 MOORPARK AVE STE 5
SAN JOSE CA
95117-1714
US

IV. Provider business mailing address

1687 LOS SUENOS AVE
SAN JOSE CA
95116-2962
US

V. Phone/Fax

Practice location:
  • Phone: 650-796-1236
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20544
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: