MEDICARE: INNER HEALTH CENTER

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	14967	CA

General Provider Information

NPI Number	:	1083066245
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	INNER HEALTH CENTER

Provider Business Mailing Address
First Line	:	778 N 1ST ST
Second Line	:	SUITE 200
City	:	SAN JOSE
State	:	CA
Zip	:	95112-6342
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	778 N 1ST ST
Second Line	:	SUITE 200
City	:	SAN JOSE
State	:	CA
Zip	:	95112-6342
Country	:	US
Telephone Number	:	408-807-8954
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	YUKE ZHOU
Credential	:
Telephone Number	:	408-807-8954

Provider Enumeration Date	:	07/12/2016
Last Update Date	:	07/12/2016

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