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Organization
LONGEVITY HALL
Active
Organization
LONGEVITY HALL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KAR CHAN (OWNER)
(408) 738-8586
Entity
Organization
Contact information
Practice address
1630 OAKLAND RD, SUITE A115, SAN JOSE, CA 95131-2449
(408) 982-5290
Mailing address
1630 OAKLAND RD, SUITE A115, SAN JOSE, CA 95131-2449
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
15550
CA
Other
Enumeration date
12/12/2013
Last updated
12/12/2013
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