| Longspringhealthcenter | |
|
1189 S De Anza Blvd Ste B San Jose CA 95129-3662 | |
| (408) 505-9485 | |
| Not Available |
| Full Name | Longspringhealthcenter |
|---|---|
| Speciality | Clinic/center |
| Location | 1189 S De Anza Blvd Ste B, San Jose, California |
| Authorized Official Name and Position | Sen Wang (OWNER) |
| Authorized Official Contact | 4085059485 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Longspringhealthcenter 1643 Lorient Ter San Jose CA 95133-1515 Ph: (408) 505-9485 | Longspringhealthcenter 1189 S De Anza Blvd Ste B San Jose CA 95129-3662 Ph: (408) 505-9485 |
| NPI Number | 1629523543 |
|---|---|
| Provider Enumeration Date | 08/21/2016 |
| Last Update Date | 08/21/2016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629523543 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 15474 (California) | Primary |
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