Healthcare Provider Details

I. General information

NPI: 1588782205
Provider Name (Legal Business Name): BETTER HEALTH CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1072 S DE ANZA BLVD A-108
SAN JOSE CA
95129-3500
US

IV. Provider business mailing address

1072 S DE ANZA BLVD A-108
SAN JOSE CA
95129-3500
US

V. Phone/Fax

Practice location:
  • Phone: 408-213-2928
  • Fax: 408-213-2925
Mailing address:
  • Phone: 408-213-2928
  • Fax: 408-213-2925

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License NumberLAC 8226
License Number StateCA

VIII. Authorized Official

Name: DR. XIUPING QI II
Title or Position: OWNER
Credential:
Phone: 408-213-2928