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NPI Code Detail

MEDICARE: MING ACUPUNCTURE AND HERB CENTER,P.C.

MEDICARE: MING ACUPUNCTURE AND HERB CENTER,P.C.
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
1305R00000XPreferred Provider OrganizationAC 16696CA

General Provider Information

NPI Number : 1356891642
Entity Type Code : Organization
Provider Name (Legal Business Name) : MING ACUPUNCTURE AND HERB CENTER,P.C.
Provider Business Mailing Address
First Line : 809 SAN ANTONIO RD
Second Line : #10
City : PALO ALTO
State : CA
Zip : 94303-4634
Country : US
Telephone Number : 650-320-9538
Fax Number :
Provider Business Practice Location Address
First Line : 809 SAN ANTONIO RD
Second Line : #10
City : PALO ALTO
State : CA
Zip : 94303-4634
Country : US
Telephone Number : 650-320-9538
Fax Number :
Authorized Official
Title or Position : CEO
Name : JERRY YOURUI WU
Credential : L.AC.
Telephone Number : 650-320-9538
Provider Enumeration Date : 10/11/2016
Last Update Date : 10/11/2016

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Directions to “MING ACUPUNCTURE AND HERB CENTER,P.C. ” Practice Location

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