Healthcare Provider Details

I. General information

NPI: 1063359925
Provider Name (Legal Business Name): RINA GOROKAWA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/30/2026
Last Update Date: 04/30/2026
Certification Date: 04/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 STEWART DR # 225B
SUNNYVALE CA
94085-4513
US

IV. Provider business mailing address

530 LAWRENCE EXPY # 447
SUNNYVALE CA
94085-4014
US

V. Phone/Fax

Practice location:
  • Phone: 408-418-6806
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20535
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: