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Organization
LIVE WELL CHINESE MEDICINE
Active
Organization
LIVE WELL CHINESE MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EUNICE E KAN L.AC. (LICENSED ACUPUNCTURIST & HERBALIST)
(415) 235-2710
Entity
Organization
Contact information
Practice address
2041 PIONEER CT, SUITE 205, SAN MATEO, CA 94403-1786
(650) 525-9355
Mailing address
1932 PARKWOOD DR, SAN MATEO, CA 94403-3961
(415) 235-2710
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
11878
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ50676Y
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
01/30/2008
Last updated
04/23/2014
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