Healthcare Provider Details

I. General information

NPI: 1992611701
Provider Name (Legal Business Name): YI ACUPUNCTURE PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/21/2026
Last Update Date: 08/21/2026
Certification Date: 08/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1754 TECHNOLOGY DR STE 128
SAN JOSE CA
95110-1320
US

IV. Provider business mailing address

1754 TECHNOLOGY DR STE 128
SAN JOSE CA
95110-1320
US

V. Phone/Fax

Practice location:
  • Phone: 510-203-9706
  • 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: XIAOYI HE
Title or Position: CEO
Credential:
Phone: 510-203-9706