# GOOD LIFE ACUPUNCTURE

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

## Provider details

- **NPI number:** 1962992578
- **Authorized official:** MR. TIMOTHY MCCONNELL L.AC. (OWNER)
- **Authorized official phone:** (408) 831-8084

## Contact information

- **Practice address:** 4205 SAN FELIPE RD STE 210, SAN JOSE, CA 95135-1550
- **Practice address phone:** (408) 250-1408
- **Mailing address:** 2710 GUMDROP DR, SAN JOSE, CA 95148-2022
- **Mailing address phone:** (408) 831-8084

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 17797 | CA | Yes |

## Other

- **Enumeration date:** 05/18/2018
- **Last updated:** 11/20/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 14232395 | CAQH | — |