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Organization
LAKE FOREST ACUPUNCTURE CLINIC
Active
Organization
LAKE FOREST ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY ROBERT DAVIS (PRESIDENT/CEO)
(714) 356-1065
Entity
Organization
Contact information
Practice address
23331 EL TORO RD, SUITE 107, LAKE FOREST, CA 92630-4891
(949) 446-8702
Mailing address
23331 EL TORO RD, SUITE 107, LAKE FOREST, CA 92630-4891
(949) 446-8702
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC13504
CA
Other
Enumeration date
12/31/2015
Last updated
12/31/2015
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