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Organization
POURTEYMOOR ACUPUNCTURE, A PROFESSIONAL CORPORATION
Active
Organization
POURTEYMOOR ACUPUNCTURE, A PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOMBIZ POURTEYMOOR L.AC., D.C. (ACUPUNCTURIST)
(310) 519-1557
Entity
Organization
Contact information
Practice address
795 W 9TH ST, SAN PEDRO, CA 90731-3601
(310) 519-1557
Mailing address
797 W 9TH ST, SAN PEDRO, CA 90731-3601
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
15461
CA
Other
Enumeration date
06/15/2016
Last updated
06/15/2016
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