Healthcare Provider Details

I. General information

NPI: 1801745351
Provider Name (Legal Business Name): WANGS ACUPUNCTURE PROFESSIONAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/27/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3535 ROSS AVE STE 205
SAN JOSE CA
95124-3039
US

IV. Provider business mailing address

1140 JOEL CT
SAN PABLO CA
94805-1011
US

V. Phone/Fax

Practice location:
  • Phone: 510-710-8138
  • Fax:
Mailing address:
  • Phone: 510-710-8138
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: PU WANG
Title or Position: PRESIDENT
Credential: L.AC.
Phone: 510-710-8138