MEDICARE: FAUSTINA CHEN LAC

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	AC20097	CA

General Provider Information

NPI Number	:	1366314775
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	FAUSTINA CHEN LAC

Provider Business Mailing Address
First Line	:	811 ALTOS OAKS DR STE 1
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5427
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	811 ALTOS OAKS DR STE 1
Second Line	:
City	:	LOS ALTOS
State	:	CA
Zip	:	94024-5427
Country	:	US
Telephone Number	:	650-469-3386
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/23/2025
Last Update Date	:	09/23/2025

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Directions to “ FAUSTINA CHEN LAC” Practice Location

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