# FUN LAC INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Upland Acupuncture & Wellness
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174903215
- **Authorized official:** SHENFANG SHARON CHANG (OWNER)
- **Authorized official phone:** (858) 722-8868

## Contact information

- **Practice address:** 77 E 7TH ST STE B, UPLAND, CA 91786-6601
- **Practice address phone:** (909) 294-6198
- **Mailing address:** 77 E 7TH ST STE B, UPLAND, CA 91786-6601
- **Mailing address phone:** (909) 294-6198

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC13570 | CA | Yes |

## Other

- **Enumeration date:** 06/04/2015
- **Last updated:** 06/04/2015