Provider Demographics
NPI:1699835975
Name:ENGELHARDT, JIANYUN HUANG (L AC)
Entity Type:Individual
Prefix:MRS
First Name:JIANYUN
Middle Name:HUANG
Last Name:ENGELHARDT
Suffix:
Gender:F
Credentials:L AC
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:777 KNOWLES DR
Mailing Address - Street 2:SUITE 6B
Mailing Address - City:LOS GATOS
Mailing Address - State:CA
Mailing Address - Zip Code:95032-1417
Mailing Address - Country:US
Mailing Address - Phone:408-781-4099
Mailing Address - Fax:408-866-6890
Practice Address - Street 1:777 KNOWLES DR
Practice Address - Street 2:SUITE 6B
Practice Address - City:LOS GATOS
Practice Address - State:CA
Practice Address - Zip Code:95032-1417
Practice Address - Country:US
Practice Address - Phone:408-781-4099
Practice Address - Fax:408-866-6890
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-09
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAAC8010171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist