Healthcare Provider Details

I. General information

NPI: 1982997276
Provider Name (Legal Business Name): BYZ NATURAL HEALTH CARE CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/19/2011
Last Update Date: 05/19/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 HAROLD AVE SUITE#48
SANTA CLARA CA
95050-2067
US

IV. Provider business mailing address

20 HAROLD AVE SUITE#48
SANTA CLARA CA
95050-2067
US

V. Phone/Fax

Practice location:
  • Phone: 408-329-7988
  • Fax: 408-247-7322
Mailing address:
  • Phone: 408-329-7988
  • Fax: 408-247-7322

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code302R00000X
TaxonomyHealth Maintenance Organization
License NumberLAC 13173
License Number StateCA

VIII. Authorized Official

Name: DR. YUZHUO BAI
Title or Position: DAOM, LAC
Credential:
Phone: 408-329-7988