Active NPI
Life Tree Wellness Center
- Acupuncturist
- San Jose, CA
National Provider Identifier
1386341022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Acupuncturist
- Legal business name
- LIFE TREE WELLNESS CENTER
- Practice address
- 2034 Forest Ave Ste 1B
San Jose, CA 95128-4809 - Phone
- (669) 254-8202
- NPI assigned
- Feb 13, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Yuanyuan Sky Wang
- Title
- Ceo
- Phone
- (669) 254-8202
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Primary |
Addresses
Primary practice location
2034 Forest Ave Ste 1B
San Jose, CA 95128-4809
Mailing address
2034 Forest Ave Ste 1B
San Jose, CA 95128-4809
Phone (669) 254-8202
National Provider Directory
National Provider DirectoryLocations
2034 Forest Ave
Ste 1B
San Jose, CA 95128
Phone (415) 766-1628
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Acupuncturist
- San Jose, CA
- NPI 1003329731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1676246400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1676246400000",
"number": "1386341022",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2034 FOREST AVE STE 1B",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284809",
"telephone_number": "669-254-8202"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2034 FOREST AVE STE 1B",
"city": "SAN JOSE",
"state": "CA",
"postal_code": "951284809",
"telephone_number": "669-254-8202"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE TREE WELLNESS CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-13",
"last_updated": "2023-02-13",
"certification_date": "2023-02-13",
"status": "A",
"authorized_official_last_name": "WANG",
"authorized_official_first_name": "YUANYUAN",
"authorized_official_middle_name": "SKY",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "669-254-8202"
},
"taxonomies": [
{
"code": "171100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Acupuncturist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in San Jose, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.