Healthcare Provider Details

I. General information

NPI: 1255976478
Provider Name (Legal Business Name): WEIPING LEE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2019
Last Update Date: 03/30/2026
Certification Date: 03/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

360 KIELY BLVD STE 255
SAN JOSE CA
95129-1354
US

IV. Provider business mailing address

7879 CREEKLINE DR
CUPERTINO CA
95014-4155
US

V. Phone/Fax

Practice location:
  • Phone: 408-685-2929
  • 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:
Title or Position:
Credential:
Phone: