Healthcare Provider Details

I. General information

NPI: 1619608775
Provider Name (Legal Business Name): YUXIN WANG L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/20/2022
Last Update Date: 05/19/2026
Certification Date: 05/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1080 SCOTT BLVD STE 1
SANTA CLARA CA
95050-5237
US

IV. Provider business mailing address

2688 MOSSWOOD DR
SAN JOSE CA
95132-2263
US

V. Phone/Fax

Practice location:
  • Phone: 408-256-0387
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC19475
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: