| |
18818 Teller Ave Ste 115, Irvine, CA 92612-1623 | |
(949) 382-5886 | |
(818) 617-2957 |
Full Name | |
---|---|
Type | Facility |
Speciality | Acupuncturist |
Location | 18818 Teller Ave Ste 115, Irvine, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1952899221 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | (California) | Secondary |
171100000X | Acupuncturist | (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
4521 Campus Dr Ste 386b, Irvine, CA 92612-2621 Ph: (949) 382-5886 | 18818 Teller Ave Ste 115, Irvine, CA 92612-1623 Ph: (949) 382-5886 |