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Organization
LONGEVITY MEDICAL CENTER
Active
Organization
LONGEVITY MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE YU (MANAGER)
(415) 812-6527
Entity
Organization
Contact information
Practice address
1630 OAKLAND RD STE A115, SAN JOSE, CA 95131-2461
(408) 982-5290
Mailing address
1630 OAKLAND RD STE A115, SAN JOSE, CA 95131-2461
(408) 982-5290
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC15777
CA
Other
Enumeration date
07/09/2014
Last updated
07/09/2014
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