# GRANDPATH MEDICAL GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104642479
- **Authorized official:** CHIN SHIN YANG (CEO)
- **Authorized official phone:** (415) 994-4011

## Contact information

- **Practice address:** 3701 GEARY BLVD STE 101, SAN FRANCISCO, CA 94118-3208
- **Practice address phone:** (510) 480-6312
- **Mailing address:** 3701 GEARY BLVD STE 101, SAN FRANCISCO, CA 94118-3208

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 12/02/2024
- **Last updated:** 12/02/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1215703327 | ACUPUNCTURIST | — |
| 01 | — | 1386963510 | ACUPUNCTURIST | — |
| 01 | — | 1821824731 | ACUPUNCTURIST | — |