# AMALIA GARDNER, L.AC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pardon My Heart LA
- **Organization subpart:** No

## Provider details

- **NPI number:** 1356854111
- **Authorized official:** MRS. AMALIA TASOULA GARDNER L.AC. (OWNER/ACUPUNCTURIST)
- **Authorized official phone:** (760) 579-9599

## Contact information

- **Practice address:** 5028 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-1908
- **Practice address phone:** (760) 579-9599
- **Mailing address:** 5028 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-1908
- **Mailing address phone:** (760) 579-9599

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC16632 | CA | Yes |

## Other

- **Enumeration date:** 11/14/2017
- **Last updated:** 11/14/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1770962979 | NPI | CA |