MEDICARE: PANDA ACUPUNCTURE 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	:	1912836453
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PANDA ACUPUNCTURE INC

Provider Business Mailing Address
First Line	:	30313 CANWOOD ST STE 23
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-2034
Country	:	US
Telephone Number	:	818-651-9899
Fax Number	:

Provider Business Practice Location Address
First Line	:	30313 CANWOOD ST STE 23
Second Line	:
City	:	AGOURA HILLS
State	:	CA
Zip	:	91301-2034
Country	:	US
Telephone Number	:	818-651-9899
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	TAIPING GAO
Credential	:
Telephone Number	:	626-999-2226

Provider Enumeration Date	:	05/19/2026
Last Update Date	:	05/19/2026

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Directions to “PANDA ACUPUNCTURE INC ” Practice Location

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