Healthcare Provider Details
I. General information
NPI: 1295673572
Provider Name (Legal Business Name): ENMUNITY ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 03/24/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
9260 ALCOSTA BLVD STE C26
SAN RAMON CA
94583-4134
US
IV. Provider business mailing address
9260 ALCOSTA BLVD STE C26
SAN RAMON CA
94583-4134
US
V. Phone/Fax
- Phone: 669-286-3119
- Fax:
- Phone: 669-286-3119
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
YONG
ZHONG
YU
Title or Position: CEO
Credential:
Phone: 415-606-2804