MEDICARE: HEALING HANDS ACUPUNCTURE CLINIC. INC

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	:	1679139729
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING HANDS ACUPUNCTURE CLINIC. INC

Provider Business Mailing Address
First Line	:	1010 SPRINGFIELD DR
Second Line	:
City	:	CAMPBELL
State	:	CA
Zip	:	95008-0314
Country	:	US
Telephone Number	:	408-207-8753
Fax Number	:

Provider Business Practice Location Address
First Line	:	1157 SARATOGA AVE # 207
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95129-3423
Country	:	US
Telephone Number	:	408-207-8753
Fax Number	:

Authorized Official
Title or Position	:	L.AC.
Name	:	YAN WANG
Credential	:	MASTER DEGREE
Telephone Number	:	408-207-8753

Provider Enumeration Date	:	05/14/2019
Last Update Date	:	05/14/2019

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