Healthcare Provider Details

I. General information

NPI: 1023537388
Provider Name (Legal Business Name): ATP ACUPUNCTURE & HEALTH CENTER CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2017
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

940 SARATOGA AVE STE 105A
SAN JOSE CA
95129-3409
US

IV. Provider business mailing address

940 SARATOGA AVE STE 105A
SAN JOSE CA
95129-3409
US

V. Phone/Fax

Practice location:
  • Phone: 408-809-1614
  • Fax: 510-713-8538
Mailing address:
  • Phone: 408-809-1614
  • Fax: 510-713-8538

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC16880
License Number StateCA

VIII. Authorized Official

Name: JASON TAO
Title or Position: CEO
Credential: L.AC
Phone: 510-673-5741