Healthcare Provider Details

I. General information

NPI: 1821336298
Provider Name (Legal Business Name): USC HOLISTIC HEALTH CENTER INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/20/2013
Last Update Date: 01/20/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

116 S SUNNYVALE AVE
SUNNYVALE CA
94086-6249
US

IV. Provider business mailing address

PO BOX 70971
SUNNYVALE CA
94086-0971
US

V. Phone/Fax

Practice location:
  • Phone: 408-746-9128
  • Fax:
Mailing address:
  • Phone: 408-746-9128
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC13464
License Number StateCA

VIII. Authorized Official

Name: MS. YE YANG
Title or Position: PRESIDENT
Credential:
Phone: 408-746-9128