Organization
GREEN JADE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRIS CHARLES BRUCKNER L.AC. (PRESIDENT)
(949) 278-3642
Entity
Organization
Contact information
Practice address
13700 ALTON PKWY, SUITE 158, IRVINE, CA 92618-1617
(949) 278-3642
Mailing address
13700 ALTON PKWY, SUITE 158, IRVINE, CA 92618-1617
(949) 278-3642
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
15129
CA
Other
Enumeration date
05/01/2013
Last updated
05/01/2013
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