Organization
FOREVER MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN MARIENTHAL (OWNER)
(408) 452-7968
Entity
Organization
Contact information
Practice address
1630 OAKLAND RD, SUITE A-202, SAN JOSE, CA 95131-2449
(408) 452-7968
(408) 984-2456
Mailing address
53 CRONIN DR, SANTA CLARA, CA 95051-6719
(408) 452-7968
(408) 984-2456
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
—
—
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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