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Organization
LA BREA HEALING CENTER INC.
Active
Organization
LA BREA HEALING CENTER INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GRACE KO (PRESIDENT)
(323) 876-7708
Entity
Organization
Contact information
Practice address
1319 N. LA BREA AVE., LOS ANGELES, CA 90028
(323) 876-7708
Mailing address
1319 N. LA BREA AVE., LOS ANGELES, CA 90028
(323) 876-7708
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12649
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC12649
ACUPUNCTURE
CA
Enumeration date
01/06/2010
Last updated
01/06/2010
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