# EVERGREEN ACUPUNTURE CLINIC

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

## Provider details

- **NPI number:** 1447361597
- **Authorized official:** SANDY HONG WONG LAC (PRESIDENT/ACUPUNTURIST)
- **Authorized official phone:** (408) 288-8238

## Contact information

- **Practice address:** 2040 FOREST AVE, SUITE 8, SAN JOSE, CA 95128-4816
- **Practice address phone:** (408) 288-8238
- **Practice address fax:** (408) 369-8866
- **Mailing address:** 2040 FOREST AVE, SUITE 8, SAN JOSE, CA 95128-4816
- **Mailing address phone:** (408) 288-8238
- **Mailing address fax:** (408) 369-8866

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC7393 | CA | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/22/2020