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Organization
KELLYS BLOOM LLC
Active
Organization
KELLYS BLOOM LLC
Active
Parent organization
KELLYS BLOOM LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
KELLYS BLOOM LLC
Authorized official
JING KE LAC (PHD)
(650) 383-5041
Entity
Organization
Contact information
Practice address
317 STATE ST, LOS ALTOS, CA 94022-2816
(650) 383-5041
Mailing address
317 STATE ST, LOS ALTOS, CA 94022-2816
(650) 383-5041
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
10/08/2025
Last updated
10/08/2025
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