MEDICARE: METTA MANTRA

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	:	1609739887
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METTA MANTRA

Provider Business Mailing Address
First Line	:	16999 MCGILL RD
Second Line	:
City	:	SARATOGA
State	:	CA
Zip	:	95070-9602
Country	:	US
Telephone Number	:	541-250-2012
Fax Number	:	408-413-1142

Provider Business Practice Location Address
First Line	:	500 E REMINGTON DR STE 28
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94087-2612
Country	:	US
Telephone Number	:	541-250-2012
Fax Number	:	408-413-1142

Authorized Official
Title or Position	:	PROVIDER
Name	:	DR. KAMOLLUCK TRATENG
Credential	:	DAOM, L.AC.
Telephone Number	:	541-250-2012

Provider Enumeration Date	:	12/04/2025
Last Update Date	:	12/06/2025

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Directions to “METTA MANTRA ” Practice Location

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