Organization · NPI-2
123 Clinic And Acupuncture
Family Medicine · Walnut, CA
NPI number1770979619
StatusActive
Last updated in NPPESMar 10, 2016
Details
- NPI
- 1770979619
- Entity type
- Organization (NPI-2)
- Legal business name
- 123 Clinic And Acupuncture
- Organization subpart
- No
- Enumeration date
- Apr 7, 2015
- Last updated
- Mar 10, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207Q00000X | Family Medicine | – | CA | Yes |
| 171100000X | Acupuncturist | – | CA | |
| 207V00000X | Obstetrics & Gynecology | – | CA |
Practice location
18800 Amar RdSuite A8
Walnut, CA 91789-4166
Phone 626-593-1233 · Fax 626-608-0318
Mailing address
18800 Amar RdSuite A8
Walnut, CA 91789-4166
Phone 626-593-1233 · Fax 626-608-0318
Authorized official
Allan C Chang
Owner
6265931233
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