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Organization
FANG MAO MEDICAL GROUP
Active
Organization
FANG MAO MEDICAL GROUP
Active
Other names
Profound Youth Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHI FANG HSU L.AC., O.M.D. (ACUPUNCTURIST / PRESIDENT)
(951) 582-0999
Entity
Organization
Contact information
Practice address
760 WASHBURN AVE, SUITE # 23, CORONA, CA 92882-3303
(951) 582-0999
(951) 582-0900
Mailing address
760 WASHBURN AVE, SUITE # 23, CORONA, CA 92882-3303
(951) 582-0999
(951) 582-0900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11187
CA
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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