Provider Demographics
NPI:1760123079
Name:RUI, YIZHUO
Entity Type:Individual
Prefix:
First Name:YIZHUO
Middle Name:
Last Name:RUI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1085 TASMAN DR SPC 310
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94089-5409
Mailing Address - Country:US
Mailing Address - Phone:646-238-7279
Mailing Address - Fax:
Practice Address - Street 1:900 S WINCHESTER BLVD STE 2
Practice Address - Street 2:
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95128-2932
Practice Address - Country:US
Practice Address - Phone:408-868-2866
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-02
Last Update Date:2022-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC19325171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist