| |
24531 Trabuco Rd Ste C, Lake Forest, CA 92630-2162 | |
(949) 855-8948 | |
Not Available |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 24531 Trabuco Rd Ste C, Lake Forest, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1043447303 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC 18270 (California) | Secondary |
171100000X | Acupuncturist | AC 11888 (California) | Primary |
Mailing Address | Practice Location Address |
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24531 Trabuco Rd Ste C, Lake Forest, CA 92630-2162 Ph: (949) 855-8948 | 24531 Trabuco Rd Ste C, Lake Forest, CA 92630-2162 Ph: (949) 855-8948 |