Healthcare Provider Details

I. General information

NPI: 1730833682
Provider Name (Legal Business Name): WELLNESS HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/09/2022
Last Update Date: 02/09/2022
Certification Date: 02/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

520 S MURPHY AVE
SUNNYVALE CA
94086-6116
US

IV. Provider business mailing address

520 S MURPHY AVE
SUNNYVALE CA
94086-6116
US

V. Phone/Fax

Practice location:
  • Phone: 408-775-5563
  • Fax:
Mailing address:
  • Phone: 408-775-5563
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: JIALUO WANG
Title or Position: MANAGER
Credential:
Phone: 408-775-5563