Healthcare Provider Details

I. General information

NPI: 1609669795
Provider Name (Legal Business Name): SAN YANG ACUPUNCTURE CLINIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2025
Last Update Date: 12/27/2025
Certification Date: 12/27/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1210 E ARQUES AVE STE 215
SUNNYVALE CA
94085-5422
US

IV. Provider business mailing address

1210 E ARQUES AVE STE 215
SUNNYVALE CA
94085-5422
US

V. Phone/Fax

Practice location:
  • Phone: 408-530-9361
  • Fax:
Mailing address:
  • Phone: 408-530-9361
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JIAMEI YUAN
Title or Position: ACUPUNCTURIST
Credential: L. AC
Phone: 408-530-9361