Healthcare Provider Details

I. General information

NPI: 1750286902
Provider Name (Legal Business Name): DR HAISHENG ACUPUNCTURE LIFESTYLE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2062 WALSH AVE STE C2
SANTA CLARA CA
95050-2502
US

IV. Provider business mailing address

2010 EI CAMINO REAL #354
SANTA CLARA CA
95050
US

V. Phone/Fax

Practice location:
  • Phone: 650-213-7453
  • Fax:
Mailing address:
  • Phone: 650-213-7453
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: HAISHENG ZHANG
Title or Position: CEO
Credential: PHD
Phone: 650-213-7453