Organization
GREENLIFE ACUPUNCTURE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY MO (MANAGER)
(909) 263-0333
Entity
Organization
Contact information
Practice address
520 N BROOKHURST ST STE 102, ANAHEIM, CA 92801-5207
(714) 312-5460
(714) 312-5460
Mailing address
2616 BEACON ST, FULLERTON, CA 92835-3104
(714) 312-5460
(714) 312-5460
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11989
CA
Other
Enumeration date
11/02/2016
Last updated
03/10/2020
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