# GREENLIFE ACUPUNCTURE INC

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

## Provider details

- **NPI number:** 1760934111
- **Authorized official:** ANDY MO (MANAGER)
- **Authorized official phone:** (909) 263-0333

## Contact information

- **Practice address:** 520 N BROOKHURST ST STE 102, ANAHEIM, CA 92801-5207
- **Practice address phone:** (714) 312-5460
- **Practice address fax:** (714) 312-5460
- **Mailing address:** 2616 BEACON ST, FULLERTON, CA 92835-3104
- **Mailing address phone:** (714) 312-5460
- **Mailing address fax:** (714) 312-5460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC11989 | CA | Yes |

## Other

- **Enumeration date:** 11/02/2016
- **Last updated:** 03/10/2020