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Organization

LONGSPRINGHEALTHCENTER

Active
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Organization

LONGSPRINGHEALTHCENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SEN WANG LAC (OWNER)
(408) 505-9485
Entity
Organization

Contact information

Practice address
1189 S DE ANZA BLVD STE B, SAN JOSE, CA 95129-3662
(408) 505-9485
Mailing address
1643 LORIENT TER, SAN JOSE, CA 95133-1515
(408) 505-9485

Taxonomy

Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
15474
CA

Other

Enumeration date
08/21/2016
Last updated
08/21/2016
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