Healthcare Provider Details

I. General information

NPI: 1891620795
Provider Name (Legal Business Name): PURE POINT ACUPUNCTURE, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/15/2026
Last Update Date: 06/15/2026
Certification Date: 06/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4155 MOORPARK AVE STE 6
SAN JOSE CA
95117-1714
US

IV. Provider business mailing address

4155 MOORPARK AVE STE 6
SAN JOSE CA
95117-1714
US

V. Phone/Fax

Practice location:
  • Phone: 408-781-7750
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ZEXIA BAO
Title or Position: PRESIDENT
Credential:
Phone: 408-781-7750