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Organization
PURE WAVE MEDICAL GROUP INC
Active
Organization
PURE WAVE MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JONGHAN KANG L.AC (CEO)
(714) 681-2785
Entity
Organization
Contact information
Practice address
614 S BREA BLVD, BREA, CA 92821-5307
(714) 681-2785
Mailing address
1679 AVENIDA SELVA, FULLERTON, CA 92833-1560
(714) 681-2785
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16982
CA
225700000X
Massage Therapist
56189
CA
Other
Enumeration date
05/20/2016
Last updated
05/25/2016
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