Organization
GREENLEAF ACUPUNCTURE AND HERBS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JING LIU (OWNER)
(408) 310-3451
Entity
Organization
Contact information
Practice address
964 HURLSTONE LN, SAN JOSE, CA 95120-2116
(408) 310-3451
Mailing address
964 HURLSTONE LN, SAN JOSE, CA 95120-2116
(408) 310-3451
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC16188
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
ZZZ07582P
BLUE SHIELD OF CALIFORNIA
CA
Enumeration date
03/29/2017
Last updated
03/29/2017
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