Healthcare Provider Details

I. General information

NPI: 1740101658
Provider Name (Legal Business Name): TAO MEETS WEST ACUPUNCTURE & WELLNESS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/24/2026
Last Update Date: 07/24/2026
Certification Date: 07/24/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4081 JEWELL ST APT A
SAN DIEGO CA
92109-6045
US

IV. Provider business mailing address

4081 JEWELL ST APT A
SAN DIEGO CA
92109-6045
US

V. Phone/Fax

Practice location:
  • Phone: 201-463-2260
  • Fax:
Mailing address:
  • Phone: 201-463-2260
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. THOMAS NOONAN
Title or Position: OWNER
Credential: LAC
Phone: 201-463-2260