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Organization

360HEALTHCARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DONGJIAN WU L.AC (CO-OWNER)
(408) 320-4020
Entity
Organization

Contact information

Practice address
1765 SCOTT BLVD, SUITE 101, SANTA CLARA, CA 95050-4138
(408) 320-4020
Mailing address
1765 SCOTT BLVD, SUITE 101, SANTA CLARA, CA 95050-4138
(408) 320-4020

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC 9127
CA
171100000X
Acupuncturist
Primary
AC17622
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC 9127
L.AC
CA
Enumeration date
12/02/2016
Last updated
04/20/2020
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