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Organization
JASMINE HERB AND ACUPUNCTURE, INC.
Active
Organization
JASMINE HERB AND ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAE CHANG PARK LAC (PRESIDENT)
(213) 382-0577
Entity
Organization
Contact information
Practice address
3545 WILSHIRE BL., #337, LOS ANGELES, CA 90010-2388
(213) 382-0577
(213) 382-0551
Mailing address
3545 WILSHIRE BL., #337, LOS ANGELES, CA 90010-2388
(213) 382-0577
(213) 382-0551
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC10209
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC10209
ACUPUNCTURE
CA
Enumeration date
09/23/2009
Last updated
09/23/2009
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