MEDICARE: QINHAN ACUPUNCTURE INC

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	:	1144034240
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	QINHAN ACUPUNCTURE INC

Provider Business Mailing Address
First Line	:	2454 EL CAMINO REAL UNIT 3
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-3002
Country	:	US
Telephone Number	:	217-778-5669
Fax Number	:

Provider Business Practice Location Address
First Line	:	2454 EL CAMINO REAL UNIT 3
Second Line	:
City	:	SANTA CLARA
State	:	CA
Zip	:	95051-3002
Country	:	US
Telephone Number	:	217-778-5669
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SHUO TANG
Credential	:
Telephone Number	:	217-778-5669

Provider Enumeration Date	:	02/07/2025
Last Update Date	:	02/12/2025

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