Healthcare Provider Details

I. General information

NPI: 1972209278
Provider Name (Legal Business Name): YIFENG ACUPUNCTURE & MASSAGE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/07/2023
Last Update Date: 02/07/2023
Certification Date: 02/01/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3111 MCLAUPHLIN AVE
SAN JOSE CA
95121
US

IV. Provider business mailing address

3111 MCLAUPHLIN AVE
SAN JOSE CA
95121
US

V. Phone/Fax

Practice location:
  • Phone: 408-868-2869
  • Fax:
Mailing address:
  • Phone: 408-868-2869
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: ZHONGBIN LIU
Title or Position: CEO
Credential:
Phone: 408-868-2869