Healthcare Provider Details

I. General information

NPI: 1871376665
Provider Name (Legal Business Name): SUNLIGHT ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/15/2023
Last Update Date: 08/15/2023
Certification Date: 08/15/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2571 N 1ST ST
SAN JOSE CA
95131-1003
US

IV. Provider business mailing address

2571 N 1ST ST
SAN JOSE CA
95131-1003
US

V. Phone/Fax

Practice location:
  • Phone: 408-550-3801
  • Fax:
Mailing address:
  • Phone: 408-550-3801
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code305R00000X
TaxonomyPreferred Provider Organization
License Number
License Number State

VIII. Authorized Official

Name: NANCY LIU
Title or Position: MANAGER
Credential:
Phone: 408-893-3661