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Organization
GOLDEN LEAF ACUPUNCTURE, INC
Active
Organization
GOLDEN LEAF ACUPUNCTURE, INC
Active
Other names
Golden Leaf Community Acupuncture, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANAHITA FORATI DAOM, LAC (CEO)
(510) 610-9316
Entity
Organization
Contact information
Practice address
2372 ELLSWORTH ST, STE E, BERKELEY, CA 94704
(510) 549-3000
(510) 900-6577
Mailing address
2372 ELLSWORTH ST, STE E, BERKELEY, CA 94704
(510) 549-3000
(510) 900-6577
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC10969
CA
171100000X
Acupuncturist
Primary
—
NULL
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/03/2009
Last updated
09/28/2018
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