| |
1324 W Commonwealth Ave, Fullerton, CA 92833-2724 | |
(714) 446-0200 | |
(714) 451-8974 |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 1324 W Commonwealth Ave, Fullerton, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1861846131 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC32478 (California) | Secondary |
171100000X | Acupuncturist | AC14892 (California) | Primary |
Mailing Address | Practice Location Address |
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1324 W Commonwealth Ave, Fullerton, CA 92833-2724 Ph: (714) 446-0200 | 1324 W Commonwealth Ave, Fullerton, CA 92833-2724 Ph: (714) 446-0200 |