MEDICARE: ATP ACUPUNCTURE & HEALTH CENTER CORP.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	AC16880	CA

General Provider Information

NPI Number	:	1023537388
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ATP ACUPUNCTURE & HEALTH CENTER CORP.

Provider Business Mailing Address
First Line	:	940 SARATOGA AVE STE 105A
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3409
Country	:	US
Telephone Number	:	408-809-1614
Fax Number	:	510-713-8538

Provider Business Practice Location Address
First Line	:	940 SARATOGA AVE STE 105A
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3409
Country	:	US
Telephone Number	:	408-809-1614
Fax Number	:	510-713-8538

Authorized Official
Title or Position	:	CEO
Name	:	JASON TAO
Credential	:	L.AC
Telephone Number	:	510-673-5741

Provider Enumeration Date	:	09/18/2017
Last Update Date	:	06/18/2026

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