# GREEN ACUPUNCTURE, PROF. CORP.

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

## Provider details

- **NPI number:** 1942733613
- **Authorized official:** JUNG LIEN YANG M.D. (CEO)
- **Authorized official phone:** (626) 780-5698

## Contact information

- **Practice address:** 13788 ROSWELL AVE, \#138, CHINO, CA 91710-1409
- **Practice address phone:** (626) 780-5698
- **Mailing address:** 13788 ROSWELL AVE, \#138, CHINO, CA 91710-1409
- **Mailing address phone:** (626) 780-5698

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC17447 | CA | Yes |
| 171100000X | Acupuncturist | AC17449 | CA | — |

## Other

- **Enumeration date:** 04/09/2017
- **Last updated:** 04/09/2017