# FOREVER MEDICAL CENTER

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

## Provider details

- **NPI number:** 1972732972
- **Authorized official:** MR. JOHN MARIENTHAL (OWNER)
- **Authorized official phone:** (408) 452-7968

## Contact information

- **Practice address:** 1630 OAKLAND RD, SUITE A-202, SAN JOSE, CA 95131-2449
- **Practice address phone:** (408) 452-7968
- **Practice address fax:** (408) 984-2456
- **Mailing address:** 53 CRONIN DR, SANTA CLARA, CA 95051-6719
- **Mailing address phone:** (408) 452-7968
- **Mailing address fax:** (408) 984-2456

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |

## Other

- **Enumeration date:** 07/10/2009
- **Last updated:** 07/10/2009