# GREEN HEALTH ACUPUNCTURE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** iMed
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275837841
- **Authorized official:** OLESIA FARBEROV L.AC. (LICENSED ACUPUNCTURIST & HERBALIST)
- **Authorized official phone:** (310) 831-2202

## Contact information

- **Practice address:** 150 W 6TH ST, SAN PEDRO, CA 90731-3300
- **Practice address phone:** (310) 831-2202
- **Mailing address:** 150 W 6TH ST, SAN PEDRO, CA 90731-3300
- **Mailing address phone:** (310) 831-2202

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC10112 | CA | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | 2431 | CA | — |

## Other

- **Enumeration date:** 12/22/2010
- **Last updated:** 12/22/2010