# GOLDEN LEAF ACUPUNCTURE, INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Golden Leaf Community Acupuncture, Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205067626
- **Authorized official:** DR. ANAHITA FORATI DAOM, LAC (CEO)
- **Authorized official phone:** (510) 610-9316

## Contact information

- **Practice address:** 2372 ELLSWORTH ST, STE E, BERKELEY, CA 94704
- **Practice address phone:** (510) 549-3000
- **Practice address fax:** (510) 900-6577
- **Mailing address:** 2372 ELLSWORTH ST, STE E, BERKELEY, CA 94704
- **Mailing address phone:** (510) 549-3000
- **Mailing address fax:** (510) 900-6577

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC10969 | CA | — |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 08/03/2009
- **Last updated:** 09/28/2018