MEDICARE: OASIS PAIN AND WELLNESS CENTER

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	:	1528328424
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OASIS PAIN AND WELLNESS CENTER

Provider Business Mailing Address
First Line	:	6155 STONERIDGE DR STE 200
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-3365
Country	:	US
Telephone Number	:	925-251-9451
Fax Number	:	925-251-0356

Provider Business Practice Location Address
First Line	:	6155 STONERIDGE DR STE 200
Second Line	:
City	:	PLEASANTON
State	:	CA
Zip	:	94588-3365
Country	:	US
Telephone Number	:	925-251-9451
Fax Number	:	925-251-0356

Authorized Official
Title or Position	:	MD/PRESIDENT
Name	:	MR. EDUARDO LIN
Credential	:
Telephone Number	:	925-251-9451

Provider Enumeration Date	:	05/24/2012
Last Update Date	:	05/24/2012

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Directions to “OASIS PAIN AND WELLNESS CENTER ” Practice Location

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