# GREEN NOVA ACUPUNCTURE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Green Nova Enterprise Inc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1659496701
- **Authorized official:** WENLIN REN (PRESIDENT)
- **Authorized official phone:** (562) 861-6684

## Contact information

- **Practice address:** 9942 LAKEWOOD BLVD, DOWNEY, CA 90240
- **Practice address phone:** (562) 861-6684
- **Practice address fax:** (562) 861-6684
- **Mailing address:** 9942 LAKEWOOD BLVD, DOWNEY, CA 90240
- **Mailing address phone:** (562) 861-6684
- **Mailing address fax:** (562) 861-6684

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 7646 | CA | Yes |

## Other

- **Enumeration date:** 03/20/2007
- **Last updated:** 08/22/2020