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Organization
FATA INC.
Active
Organization
FATA INC.
Active
Parent organization
FATA INC.
Other names
Fata Acupuncture
Organization subpart
Yes
Provider details
NPI number
Legal business name
FATA INC.
Authorized official
MR. SOON PARK D.AC. (MANAGER)
(909) 829-2349
Entity
Organization
Contact information
Practice address
9773 SIERRA AVE, 9773 SIERRA AVE. #H7, FONTANA, CA 92335-6716
(909) 829-2349
(909) 829-2349
Mailing address
9773 SIERRA AVE, 9773 SIERRA AVE. #H7, FONTANA, CA 92335-6716
(909) 829-2349
(909) 829-2349
Taxonomy
Speciality
Code
Description
License number
State
246ZA2600X
Medical Art Specialist/Technologist
Primary
AC12047
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC12047
ACUPUNCTURE
CA
Enumeration date
02/07/2014
Last updated
02/07/2014
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