Organization
PURPLE STAR HEALTH & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KEBIN LI (CEO)
(510) 552-9431
Entity
Organization
Contact information
Practice address
1400 COLEMAN AVE STE B24, SANTA CLARA, CA 95050-4315
(510) 552-9431
Mailing address
1400 COLEMAN AVE STE B24, SANTA CLARA, CA 95050-4315
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2020
Last updated
04/23/2020
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