Bae Jan Nancy Wang , LAC, PT
Acupuncturist • Cupertino, CA
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Bae Jan Wang has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Bae Jan Wang, LAC, PT was a registered Acupuncturist practicing in Cupertino, CA. Throughout an active medical career spanning 11 years, Bae Jan Wang provided care at the practice location at 10580 S DE ANZA BLVD until profile deactivation on 2019-01-22.
Practice Location & Contact Primary Location
10580 S De Anza Blvd
Cupertino, CA 950144450
Specialty Benchmarks & Practice Insights
Comparative analytics for Acupuncturist in Cupertino, CA
Practicing in Cupertino, CA (11031 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 171100000X
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Physical Therapist
Physical Medicine & Rehabilitation - Neuromuscular Medicine
Physical Therapist
Physical Therapist - Orthopedic
Acupuncturist
Doctor of Philosophy (Ph.D.), MATCM, Licensed Acupuncturist
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on January 22, 2019
NPI status registered as active in NPPES database
Registered at 10580 S DE ANZA BLVD, CUPERTINO, CA 950144450 (Tel: 4088232061)
Registered at 21822 LINDY LN, CUPERTINO, CA 950144813 (Tel: 4088232061)
Recorded as BAE JAN WANG, L.AC, PT
Acupuncturist (License #AC12115 in None)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
21822 Lindy Ln
Cupertino, CA 950144813
Phone: 4088232061
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