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Organization

MAC ORIENTAL MEDICINE CLINIC INC

Active
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Organization

MAC ORIENTAL MEDICINE CLINIC INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. KWANG HOON AN (SECRATARY)
(213) 245-8704
Entity
Organization

Contact information

Practice address
4009 WILSHIRE BLVD STE 200C, LOS ANGELES, CA 90010-3407
(213) 514-2877
Mailing address
4009 WILSHIRE BLVD STE 200C, LOS ANGELES, CA 90010-3407
(213) 514-2877

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
14345
CA

Other

Enumeration date
07/16/2013
Last updated
12/10/2013
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