=====================================================
General NPI Number Information
=====================================================
NPI Number | 1356690044
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | EEECARE ACUPUNCTURE INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 09/10/2012
-----------------------------------------------------
Last Update Date | 09/10/2012
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 800 CALIFORNIA ST
-----------------------------------------------------
City | MOUNTAIN VIEW
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94041-2809
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-800-6806
-----------------------------------------------------
Fax | 408-912-2888
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1169 BEDFORD ST
-----------------------------------------------------
City | FREMONT
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94539-4603
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 408-800-6806
-----------------------------------------------------
Fax | 408-912-2888
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | YENCHENG CHEN
-----------------------------------------------------
Credential | L.AC. PH.D.
-----------------------------------------------------
Telephone | 408-800-6806
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC 14687
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------