# HE LIAN TANG ACUPUNCTURE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124400718
- **Authorized official:** WAN HE L.AC. DAOM (PRESIDENT)
- **Authorized official phone:** (707) 863-8988

## Contact information

- **Practice address:** 4725 MANGELS BLVD, FAIRFIELD, CA 94534-4175
- **Practice address phone:** (707) 863-8988
- **Mailing address:** 4725 MANGELS BLVD, FAIRFIELD, CA 94534-4175
- **Mailing address phone:** (707) 863-8988

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC11443 | CA | Yes |

## Other

- **Enumeration date:** 06/19/2015
- **Last updated:** 01/26/2016