Organization
FORTUNE LEAVES CO
Active
Other names
Ren En Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HONGLI LIU (CEO/ACUPUNCTURE DOCTOR)
(408) 306-5988
Entity
Organization
Contact information
Practice address
1590 OAKLAND RD B101, SAN JOSE, CA 95131
(408) 306-1252
(408) 904-5056
Mailing address
1590 OAKLAND RD STE B101, SAN JOSE, CA 95131-2444
(408) 306-1252
(408) 904-5056
Taxonomy
Speciality
Code
Description
License number
State
251K00000X
Public Health or Welfare Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
171100000X
171100000X
CA
Enumeration date
09/24/2013
Last updated
09/24/2013
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