Damir R Malikov, L.Ac., M.S.O.M.
Acupuncturist in Winnetka, CA. Individual provider (NPI-1).
NPI number1619208501
StatusActive
Last updated in NPPESOct 13, 2012
Details
- NPI
- 1619208501
- Entity type
- Individual (NPI-1)
- Name
- Damir R Malikov
- Credential
- L.Ac., M.S.O.M.
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Jan 17, 2010
- Last updated
- Oct 13, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 171100000X | Acupuncturist | 15071 | CA | Yes |
Practice location
20224 Sherman Way Unit 32Winnetka, CA 91306-3226
Phone 323-422-6563
Mailing address
20224 Sherman Way Unit 32Winnetka, CA 91306-3226
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