Provider Demographics
NPI:1235950627
Name:NEW LIFE MEDICAL ACUPUNCTURE INC.
Entity type:Organization
Organization Name:NEW LIFE MEDICAL ACUPUNCTURE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHUYI
Authorized Official - Middle Name:
Authorized Official - Last Name:WU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:510-737-8158
Mailing Address - Street 1:463 KILKARE RD
Mailing Address - Street 2:
Mailing Address - City:SUNOL
Mailing Address - State:CA
Mailing Address - Zip Code:94586-9415
Mailing Address - Country:US
Mailing Address - Phone:818-288-3155
Mailing Address - Fax:
Practice Address - Street 1:8 N ABEL ST
Practice Address - Street 2:
Practice Address - City:MILPITAS
Practice Address - State:CA
Practice Address - Zip Code:95035-4833
Practice Address - Country:US
Practice Address - Phone:818-288-3155
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-18
Last Update Date:2024-10-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty