Good Life Clinic & Spa Inc

Primary specialty

AcupuncturistTaxonomy code 171100000X

License

AC10591 Issued in CA

Legal business name

GOOD LIFE CLINIC & SPA INC

Practice address

4325 Moorpark Ave
Suite B
San Jose, CA 95129

Phone

(408) 646-4153

Fax

(650) 961-2378

NPI assigned

Oct 23, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Kuang Yuan Wen, L.AC.NPI 1285709238

Title

President

Phone

(408) 646-4153

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kuang Yuan Wen, L.AC

  • Acupuncturist
  • San Jose, CA
  • NPI 1285709238
  NPD (past) Authorized official
• Afshin Mokhtari, L.AC.

  • Acupuncturist
  • Mountain View, CA
  • NPI 1457429888
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1566518400000",
    "number": "1932398179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4325 MOORPARK AVE",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95129",
            "telephone_number": "408-646-4153",
            "fax_number": "650-961-2378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4325 MOORPARK AVE",
            "address_2": "SUITE B",
            "city": "SAN JOSE",
            "state": "CA",
            "postal_code": "95129",
            "telephone_number": "408-646-4153",
            "fax_number": "650-961-2378"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOOD LIFE CLINIC & SPA INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-23",
        "last_updated": "2019-08-23",
        "status": "A",
        "authorized_official_last_name": "WEN",
        "authorized_official_first_name": "KUANG YUAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-646-4153",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "L.AC."
    },
    "taxonomies": [
        {
            "code": "171100000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Acupuncturist",
            "state": "CA",
            "license": "AC10591",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Yanina Gonzalez
• Yaxin Gonzalez
• Yovanna Gonzalez, OT
• Good Life Acupuncture
• Good Life Acuuncture PC
• Good Life Therapy LLC
• Good Samaritan Hospital
• Good Samaritan Hospital LP
• Good Samaritan Hospital, L.P. (Good Samaritan Hospital)
• Good Samaritan Hospital, L.P. (Good Samaritan Hospital)

• Acupuncturist in San Jose, CA
• Providers in San Jose, CA by specialty
• Acupuncturist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.