Healthcare Provider Details

I. General information

NPI: 1437783362
Provider Name (Legal Business Name): ORIENTAL ACUPUNCTURE WELLNESS CENTER
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/29/2020
Last Update Date: 02/29/2020
Certification Date: 02/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1111 W EL CAMINO REAL STE 121
SUNNYVALE CA
94087-1057
US

IV. Provider business mailing address

1111 W EL CAMINO REAL STE 121
SUNNYVALE CA
94087-1057
US

V. Phone/Fax

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

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: HUGH B LEE
Title or Position: OWNER
Credential:
Phone: 408-962-0275