Healthcare Provider Details

I. General information

NPI: 1316711369
Provider Name (Legal Business Name): XINGLIN ACUPUNCTURE CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2023
Last Update Date: 01/26/2024
Certification Date: 01/26/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3571 HOMESTEAD RD # 1
SANTA CLARA CA
95051-5161
US

IV. Provider business mailing address

555 SAN MARTIN TER APT 1
SUNNYVALE CA
94085-3596
US

V. Phone/Fax

Practice location:
  • Phone: 614-648-2139
  • Fax:
Mailing address:
  • Phone: 614-648-2139
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: XIAOKAI SUN
Title or Position: EMPLOYEE
Credential:
Phone: 614-648-2139