Healthcare Provider Details

I. General information

NPI: 1104739432
Provider Name (Legal Business Name): CHIACHUN YANG
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/26/2026
Last Update Date: 09/26/2026
Certification Date: 09/26/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1520 THE ALAMEDA STE 130
SAN JOSE CA
95126-2302
US

IV. Provider business mailing address

809 CUESTA DR STE B181
MOUNTAIN VIEW CA
94040-3667
US

V. Phone/Fax

Practice location:
  • Phone: 650-284-9922
  • Fax:
Mailing address:
  • Phone: 650-284-9922
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20754
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: