MEDICARE: NORTHERN CALIFORNIA HEALTH AND ACUPUNCTURE

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	AC 4327	CA

General Provider Information

NPI Number	:	1306867445
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NORTHERN CALIFORNIA HEALTH AND ACUPUNCTURE

Provider Business Mailing Address
First Line	:	PO BOX 391510
Second Line	:
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94039-1510
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	375 CASTRO ST
Second Line	:	SUITE A
City	:	MOUNTAIN VIEW
State	:	CA
Zip	:	94041-1205
Country	:	US
Telephone Number	:	650-320-0008
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	DR. JENNY SHI
Credential	:	L.AC.
Telephone Number	:	650-320-0008

Provider Enumeration Date	:	07/22/2006
Last Update Date	:	08/22/2020

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