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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