Healthcare Provider Details

I. General information

NPI: 1063117547
Provider Name (Legal Business Name): YIMING ACUPUNCTURE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/03/2023
Last Update Date: 04/03/2023
Certification Date: 04/03/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1257 LAKESIDE DR STE 200
SUNNYVALE CA
94085-4089
US

IV. Provider business mailing address

2668 MIDDLEBOROUGH CIR
SAN JOSE CA
95132-2113
US

V. Phone/Fax

Practice location:
  • Phone: 408-660-7224
  • Fax:
Mailing address:
  • Phone: 408-660-7224
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: YUN LI
Title or Position: OWNER
Credential:
Phone: 408-660-7224