Organization
JASENG ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DONG HA PARK L.AC (CLINIC DIRECTOR)
(408) 645-8232
Entity
Organization
Contact information
Practice address
100 SARATOGA AVE STE 110, SANTA CLARA, CA 95051-7337
(408) 645-8232
(408) 645-2415
Mailing address
100 SARATOGA AVE STE 110, SANTA CLARA, CA 95051-7337
(408) 645-8232
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
AC14070
CA
Other
Enumeration date
06/12/2012
Last updated
06/12/2012
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