MEDICARE: HA ACUPUNCTURE CLINIC

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

General Provider Information

NPI Number	:	1093408924
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HA ACUPUNCTURE CLINIC

Provider Business Mailing Address
First Line	:	191 E EL CAMINO REAL SPC 162
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2715
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	191 E EL CAMINO REAL SPC 162
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94040-2715
Country	:	US
Telephone Number	:	408-892-0616
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MICHELLE WANG
Credential	:
Telephone Number	:	408-892-0616

Provider Enumeration Date	:	05/26/2023
Last Update Date	:	05/26/2023

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Directions to “HA ACUPUNCTURE CLINIC ” Practice Location

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