PURPLE STAR HEALTH & WELLNESS


Address: 1400 Coleman Ave Ste B24, Santa Clara, CA 95050-4315
Phone: 5105529431

PURPLE STAR HEALTH & WELLNESS (NPI# 1275153819) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1275153819
Entity Type Organization
Organization Name PURPLE STAR HEALTH & WELLNESS
Practice Address 1400 Coleman Ave Ste B24
Santa Clara
CA 95050-4315
Practice Telephone 5105529431
Enumeration Date 2020-04-23
Last Update Date 2020-04-23
Authorized Official Name DR. KEBIN LI (CEO)
Authorized Official Telephone 5105529431
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261Q00000X Clinic/Center Ambulatory Health Care Facilities

Office Location

Street Address 1400 COLEMAN AVE STE B24
City SANTA CLARA
State CA
Zip Code 95050-4315

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Taxonomy Information

Taxonomy Code 261Q00000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center

Taxonomy Definition

A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).

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Competitor

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City SANTA CLARA
Zip Code 95050

Improve Information

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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