# GROSSMONT MEDICAL CENTER ACUPUNCTURE CLINIC

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

## Provider details

- **NPI number:** 1508914128
- **Authorized official:** MR. GHASSAN ELKHOURY L.AC. (PARTNER)
- **Authorized official phone:** (619) 465-8800

## Contact information

- **Practice address:** 5565 GROSSMONT CENTER DR STE 500 BLDG 3, LA MESA, CA 91942-3024
- **Practice address phone:** (619) 465-8800
- **Practice address fax:** (619) 465-8808
- **Mailing address:** 5565 GROSSMONT CENTER DR STE 500 BLDG 3, LA MESA, CA 91942-3024
- **Mailing address phone:** (619) 465-8800
- **Mailing address fax:** (619) 465-8808

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC10036 | CA | Yes |

## Other

- **Enumeration date:** 01/08/2007
- **Last updated:** 08/22/2020