# HEALTHY LIFE ACUPUNCTURE CENTER

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

## Provider details

- **NPI number:** 1396983250
- **Authorized official:** MRS. KIMI XIAO GUDMUNSEN L.AC.,O.M.D., PH.D (ACUPUNCTURIST)
- **Authorized official phone:** (323) 264-3288

## Contact information

- **Practice address:** 1241 S SOTO ST STE 110, LOS ANGELES, CA 90023-2666
- **Practice address phone:** (323) 264-3288
- **Practice address fax:** (323) 264-0288
- **Mailing address:** 1241 S SOTO ST STE 110, LOS ANGELES, CA 90023-2666
- **Mailing address phone:** (323) 264-3288
- **Mailing address fax:** (323) 264-0288

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC8229 | CA | Yes |

## Other

- **Enumeration date:** 01/30/2009
- **Last updated:** 01/30/2009