Amazing Grace Medical Acupuncture Clinic INC.
Acupuncturist in Cupertino, CA. Organization (NPI-2).
NPI number1821579293
StatusActive
Last updated in NPPESAug 23, 2018
Details
- NPI
- 1821579293
- Entity type
- Organization (NPI-2)
- Legal business name
- Amazing Grace Medical Acupuncture Clinic INC.
- Organization subpart
- No
- Enumeration date
- Aug 23, 2018
- Last updated
- Aug 23, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | AC18003 | CA | Yes |
Practice location
20819 Dunbar DrCupertino, CA 95014-1801
Phone 408-705-6659
Mailing address
20819 Dunbar DrCupertino, CA 95014-1801
Authorized official
Helena Ru Chang
Secretary
4087056659
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