Healthcare Provider Details

I. General information

NPI: 1568205649
Provider Name (Legal Business Name): JJB SPA CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/17/2024
Last Update Date: 06/17/2024
Certification Date: 06/17/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10835 N WOLFE RD
CUPERTINO CA
95014-0614
US

IV. Provider business mailing address

5183 PARKFIELD AVE
SAN JOSE CA
95129-3227
US

V. Phone/Fax

Practice location:
  • Phone: 408-590-1599
  • Fax:
Mailing address:
  • Phone: 408-590-1599
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: MR. ZHE ZHANG
Title or Position: COO AND CO-FOUDER
Credential:
Phone: 408-590-1599