Healthcare Provider Details

I. General information

NPI: 1093679532
Provider Name (Legal Business Name): WEI WEI LU PHD
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/10/2025
Last Update Date: 12/10/2025
Certification Date: 12/04/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

474 E EI CAMINO REAL
SUNNYVALE CA
94087
US

IV. Provider business mailing address

4857 TAMMY CT
UNION CITY CA
94587-5140
US

V. Phone/Fax

Practice location:
  • Phone: 408-962-0275
  • Fax:
Mailing address:
  • Phone: 510-648-0237
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20471
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: