| |
17305 Von Karman Ave, Suite 109, Irvine, CA 92614-0963 | |
(949) 679-8818 | |
(949) 679-8819 |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 17305 Von Karman Ave, Irvine, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942620828 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | 20866 (California) | Secondary |
171100000X | Acupuncturist | CA5963 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
17305 Von Karman Ave, Suite 109, Irvine, CA 92614-0963 Ph: (949) 679-8818 | 17305 Von Karman Ave, Suite 109, Irvine, CA 92614-0963 Ph: (949) 679-8818 |