Organization
GOOD LIFE CLINIC & SPA INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KUANG YUAN WEN L.AC. (PRESIDENT)
(408) 646-4153
Entity
Organization
Contact information
Practice address
4325 MOORPARK AVE, SUITE B, SAN JOSE, CA 95129
(408) 646-4153
(650) 961-2378
Mailing address
4325 MOORPARK AVE, SUITE B, SAN JOSE, CA 95129
(408) 646-4153
(650) 961-2378
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC10591
CA
Other
Enumeration date
10/23/2007
Last updated
08/23/2019
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