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Organization

SUNRISE ACUPUNCTURE & HERBS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TA-TUNG LIN (L.AC)
(408) 528-5034
Entity
Organization

Contact information

Practice address
6894 GLENVIEW DR, SAN JOSE, CA 95120-5421
(408) 997-1729
Mailing address
6894 GLENVIEW DR, SAN JOSE, CA 95120-5421
(408) 997-1729

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AC14398
CA
302R00000X
Health Maintenance Organization
AC14456
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC14398
171100000X
CA
01
AC14456
171100000X
CA
Enumeration date
12/02/2011
Last updated
12/02/2011
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