MEDICARE: MEI LUNG LIANG LAHEY LAC OMD QME

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	163W00000X	Registered Nurse	530336	TX
2	171100000X	Acupuncturist	AC806	CA

General Provider Information

NPI Number	:	1952457608
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MEI LUNG LIANG LAHEY LAC OMD QME

Provider Business Mailing Address
First Line	:	18638 LAREDO RD
Second Line	:	101
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-2702
Country	:	US
Telephone Number	:	510-537-4146
Fax Number	:	510-537-4146

Provider Business Practice Location Address
First Line	:	18638 LAREDO RD
Second Line	:	101
City	:	CASTRO VALLEY
State	:	CA
Zip	:	94546-2702
Country	:	US
Telephone Number	:	510-537-4146
Fax Number	:	510-537-4146

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

Provider Enumeration Date	:	01/26/2007
Last Update Date	:	09/11/2025

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