Healthcare Provider Details
I. General information
NPI: 1164110235
Provider Name (Legal Business Name): ACCU VALLEY HEALTH INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/26/2023
Last Update Date: 04/26/2023
Certification Date: 04/26/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
830 STEWART DR STE 148
SUNNYVALE CA
94085-4513
US
IV. Provider business mailing address
132 TIFFIN DR
SAN JOSE CA
95136-3338
US
V. Phone/Fax
- Phone: 408-477-9128
- Fax:
- Phone: 408-477-9128
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 111N00000X |
| Taxonomy | Chiropractor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
YUHUA
LEE
Title or Position: PRESIDENT
Credential:
Phone: 408-477-9128