Healthcare Provider Details

I. General information

NPI: 1285583310
Provider Name (Legal Business Name): TDH HEALTHCARE WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2026
Last Update Date: 01/22/2026
Certification Date: 01/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1680 THE ALAMEDA STE 201
SAN JOSE CA
95126-2208
US

IV. Provider business mailing address

438 LOS ENCINOS AVE
SAN JOSE CA
95134-1337
US

V. Phone/Fax

Practice location:
  • Phone: 415-650-9978
  • Fax:
Mailing address:
  • Phone: 415-650-9978
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: NANCY HU
Title or Position: MANAGER
Credential:
Phone: 415-650-9978