MEDICARE: ACU HEALTH MEDICAL GROUP 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	LAC13140	CA

General Provider Information

NPI Number	:	1952634966
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACU HEALTH MEDICAL GROUP INC

Provider Business Mailing Address
First Line	:	2004 UNIVERSITY AVE
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95128-1432
Country	:	US
Telephone Number	:	650-274-8320
Fax Number	:	408-899-4296

Provider Business Practice Location Address
First Line	:	1289 E HILLSDALE BLVD STE 2
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-1219
Country	:	US
Telephone Number	:	650-212-7968
Fax Number	:	408-899-4296

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ENMIN PENG
Credential	:	LAC
Telephone Number	:	650-274-8320

Provider Enumeration Date	:	09/09/2009
Last Update Date	:	05/13/2015

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