Healthcare Provider Details

I. General information

NPI: 1356279111
Provider Name (Legal Business Name): BAI BEAUTY & WELLNESS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/12/2026
Last Update Date: 05/12/2026
Certification Date: 05/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

595 LAWRENCE EXPY STE 201
SUNNYVALE CA
94085-3922
US

IV. Provider business mailing address

750 MILLER ST APT 605
SAN JOSE CA
95110-2108
US

V. Phone/Fax

Practice location:
  • Phone: 669-327-7686
  • Fax:
Mailing address:
  • Phone: 669-327-7686
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: CHENYANG BAI
Title or Position: CEO
Credential: LAC
Phone: 669-327-7686