Healthcare Provider Details

I. General information

NPI: 1760311625
Provider Name (Legal Business Name): GOLDEN BRIDGE HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/18/2026
Last Update Date: 05/18/2026
Certification Date: 05/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 E HAMILTON AVE STE 6
CAMPBELL CA
95008-0263
US

IV. Provider business mailing address

330 E HAMILTON AVE STE 6
CAMPBELL CA
95008-0263
US

V. Phone/Fax

Practice location:
  • Phone: 408-871-2838
  • Fax:
Mailing address:
  • Phone: 408-871-2838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State

VIII. Authorized Official

Name: HONGJUN PAN
Title or Position: ACUPUNCTURIST
Credential: LAC
Phone: 408-871-2838