MIRACLE WANDS CLINIC NPI 1528599842

NPI Information

  • NPI: 1528599842
  • Provider Name: MIRACLE WANDS CLINIC
  • Classification: Clinic/Center - 261Q00000X
  • Entity Type: Organization
  • Address: 1143 STORY RD STE 250&260
    SAN JOSE, CA
    ZIP 95122
  • Phone: (408) 899-2254

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NPI Details

MIRACLE WANDS CLINIC is a clinic center in San Jose, CA. The provider is a facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). MIRACLE WANDS CLINIC NPI is 1528599842. The provider is registered as an organization entity type.

The provider's business location address is:

1143 STORY RD STE 250&260
SAN JOSE, CA
ZIP 95122-610
Phone: (408) 899-2254

The provider's authorized official is Lyndy Ngu .
The authorized official title is Ceo and has the following contact phone number (213) 271-5925.

The enumeration date for this NPI number is 3/27/2017 and was last updated on 3/27/2017.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261Q00000XClinic/Center54418CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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