# GUO CHINESE MEDICAL CENTER INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366925133
- **Authorized official:** MRS. LIANYING G FRASER LAC (PRESIDENT)
- **Authorized official phone:** (909) 988-4089

## Contact information

- **Practice address:** 1865 E 4TH ST UNIT C-1, ONTARIO, CA 91764-2652
- **Practice address phone:** (909) 988-4089
- **Practice address fax:** (909) 988-4027
- **Mailing address:** 1865 E 4TH ST UNIT C-1, ONTARIO, CA 91764-2652
- **Mailing address phone:** (909) 988-4089
- **Mailing address fax:** (909) 988-4027

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | LAC12291 | CA | Yes |

## Other

- **Enumeration date:** 09/07/2018
- **Last updated:** 09/07/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 1093955057 | NPPES | CA |
| 01 | — | LAC12291 | STATE LICENSE | CA |