Healthcare Provider Details

I. General information

NPI: 1063344299
Provider Name (Legal Business Name): GOOD LIFE THERAPY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2026
Last Update Date: 06/01/2026
Certification Date: 06/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 S 23RD ST
SAN JOSE CA
95116-2225
US

IV. Provider business mailing address

9 S 23RD ST
SAN JOSE CA
95116-2225
US

V. Phone/Fax

Practice location:
  • Phone: 408-420-4383
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: PAN ZHANG
Title or Position: CEO
Credential:
Phone: 408-420-4383