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Organization
PINE TREE ACUPUNCTURE, INC.
Active
Organization
PINE TREE ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUN MI PARK (PRESIDENT)
(714) 333-8363
Entity
Organization
Contact information
Practice address
6286 BEACH BLVD, BUENA PARK, CA 90621-2351
(714) 333-8363
Mailing address
16000 VILLA YORBA, APT 615, HUNTINGTON BEACH, CA 92647-3902
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC15740
CA
Other
Enumeration date
03/31/2016
Last updated
03/31/2016
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