Healthcare Provider Details

I. General information

NPI: 1679437255
Provider Name (Legal Business Name): RESEARCH-BASED ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4301 SCOTTS VALLEY DR STE 2
SCOTTS VALLEY CA
95066-4525
US

IV. Provider business mailing address

4301 SCOTTS VALLEY DR STE 2
SCOTTS VALLEY CA
95066-4525
US

V. Phone/Fax

Practice location:
  • Phone: 831-346-8252
  • Fax: 831-480-2308
Mailing address:
  • Phone: 831-346-8252
  • Fax: 831-480-2308

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: DR. FENGLI LAN
Title or Position: PRESIDENT
Credential: PHD
Phone: 831-346-8252