Provider Demographics
NPI:1821823816
Name:HOU, JIE (MS)
Entity type:Individual
Prefix:MR
First Name:JIE
Middle Name:
Last Name:HOU
Suffix:
Gender:M
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:674 KIRKLAND DR APT 6
Mailing Address - Street 2:
Mailing Address - City:SUNNYVALE
Mailing Address - State:CA
Mailing Address - Zip Code:94087-5772
Mailing Address - Country:US
Mailing Address - Phone:408-858-9879
Mailing Address - Fax:
Practice Address - Street 1:674 KIRKLAND DR APT 6
Practice Address - Street 2:
Practice Address - City:SUNNYVALE
Practice Address - State:CA
Practice Address - Zip Code:94087-5772
Practice Address - Country:US
Practice Address - Phone:408-858-9879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-09-07
Last Update Date:2024-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC20168171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist