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Organization
RANCHO EASTERN MEDICAL CENTER
Active
Organization
RANCHO EASTERN MEDICAL CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FU HUA YANG (L.AC)
(909) 989-7388
Entity
Organization
Contact information
Practice address
6331 HAVEN AVE STE 7, RANCHO CUCAMONGA, CA 91737-6940
(909) 989-7388
Mailing address
6331 HAVEN AVE STE 7, RANCHO CUCAMONGA, CA 91737-6940
(909) 989-7388
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12235
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC12235
STATE LICENSE
CA
Enumeration date
09/23/2015
Last updated
09/23/2015
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