Provider Demographics
NPI:1548404619
Name:GOLDEN GATE WELLNESS CENTER
Entity Type:Organization
Organization Name:GOLDEN GATE WELLNESS CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:YUNHUI
Authorized Official - Middle Name:
Authorized Official - Last Name:JUAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:888-891-8688
Mailing Address - Street 1:100 N WINCHESTER BLVD STE 390
Mailing Address - Street 2:
Mailing Address - City:SANTA CLARA
Mailing Address - State:CA
Mailing Address - Zip Code:95050-6577
Mailing Address - Country:US
Mailing Address - Phone:888-891-8688
Mailing Address - Fax:888-565-3558
Practice Address - Street 1:100 N WINCHESTER BLVD STE 390
Practice Address - Street 2:
Practice Address - City:SANTA CLARA
Practice Address - State:CA
Practice Address - Zip Code:95050-6577
Practice Address - Country:US
Practice Address - Phone:888-891-8688
Practice Address - Fax:888-565-3558
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-21
Last Update Date:2009-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC9901171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty