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Organization
WUXIA INTEGRATIVE MEDICINE
Active
Organization
WUXIA INTEGRATIVE MEDICINE
Active
Other names
Wuxia Acupuncture Medicine, Wuxia Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE WONG L.AC (PRESIDENT)
(626) 639-3887
Entity
Organization
Contact information
Practice address
2595 E WASHINGTON BLVD STE 108, PASADENA, CA 91107-1409
(626) 639-3887
(626) 688-5889
Mailing address
1550 MIRASOL DR, SAN MARINO, CA 91108-2737
(323) 639-3372
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
AC17768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831690783
NPI INDIVIDUAL JEANNIE WONG
—
Enumeration date
08/02/2018
Last updated
05/01/2020
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