| Butu Wellness Inc | |
|
1073 S Winchester Blvd San Jose CA 95128-3702 | |
| (626) 283-3465 | |
| Not Available |
| Full Name | Butu Wellness Inc |
|---|---|
| Speciality | Acupuncturist |
| Location | 1073 S Winchester Blvd, San Jose, California |
| Authorized Official Name and Position | Xun Li (MANAGER) |
| Authorized Official Contact | 6262833465 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Butu Wellness Inc 1073 S Winchester Blvd San Jose CA 95128-3702 Ph: (626) 283-3465 | Butu Wellness Inc 1073 S Winchester Blvd San Jose CA 95128-3702 Ph: (626) 283-3465 |
| NPI Number | 1104523612 |
|---|---|
| Provider Enumeration Date | 02/15/2023 |
| Last Update Date | 02/15/2023 |
| Certification Date | 10/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104523612 | NPI | - | NPPES |
| 1578058772 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 171100000X | Acupuncturist | (* (Not Available)) | Primary |
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