CA Wall License 1558 Information
| Name | Yuan Si |
| License Number | 1558 |
| Individual or Organization | O |
| Address | 20445 Pacifica Dr Unit A-1 Cupertino, CA 95014 |
| County | Santa Clara |
| License Status | Active |
| License Original Issue Date | 10/13/2021 |
| License Expiration Date | 2/29/2024 |
| License Type | Wall License |
| Agency | Acupuncture Board |