Healthcare Provider Details

I. General information

NPI: 1104240282
Provider Name (Legal Business Name): CORNERSTONE ACUPUNCTURE HEALTH CLINICS, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/10/2014
Last Update Date: 02/10/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3350 SCOTT BLVD #47
SANTA CLARA CA
95054-3104
US

IV. Provider business mailing address

3350 SCOTT BLVD #47
SANTA CLARA CA
95054-3104
US

V. Phone/Fax

Practice location:
  • Phone: 408-480-2860
  • Fax:
Mailing address:
  • Phone: 408-480-2860
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QH0100X
TaxonomyHealth Service Clinic/Center
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QM1300X
TaxonomyMulti-Specialty Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QP2300X
TaxonomyPrimary Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WENWEI WU
Title or Position: CEO
Credential: DAOM; L.AC.
Phone: 408-480-2860