Provider Demographics
NPI:1437599545
Name:TU, TAO (LAC)
Entity Type:Individual
Prefix:MR
First Name:TAO
Middle Name:
Last Name:TU
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3612 FLORA VISTA AVE APT 360
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95051-3532
Mailing Address - Country:US
Mailing Address - Phone:510-366-6190
Mailing Address - Fax:
Practice Address - Street 1:2060 CURTNER AVE
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95124-1306
Practice Address - Country:US
Practice Address - Phone:510-366-6190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-07-03
Last Update Date:2014-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15361171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist