# EVERBLOSSOM HEALTHCARE

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

## Provider details

- **NPI number:** 1407039118
- **Authorized official:** MS. ANN TUNG (OWNER)
- **Authorized official phone:** (408) 410-7821

## Contact information

- **Practice address:** 1084 S DE ANZA BLVD. SUITE A, SAN JOSE, CA 95129
- **Practice address phone:** (408) 410-7821
- **Practice address fax:** (408) 253-2842
- **Mailing address:** 12111 KIRKBROOK DR, SARATOGA, CA 95070
- **Mailing address phone:** (408) 410-7821
- **Mailing address fax:** (408) 253-2842

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC11253 | CA | Yes |
| 302F00000X | Exclusive Provider Organization | AC11253 | CA | — |

## Other

- **Enumeration date:** 12/17/2007
- **Last updated:** 08/22/2008