# ACUPUNCTURE CHIROPRACTIC CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Acupuncture Chiropractic Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1548560253
- **Authorized official:** DR. RICHARD G. FONG D.C., L.A.C., (OWNER)
- **Authorized official phone:** (626) 799-8855

## Contact information

- **Practice address:** 1949 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4989
- **Practice address phone:** (626) 799-8855
- **Practice address fax:** (626) 799-1099
- **Mailing address:** 1949 HUNTINGTON DR, SOUTH PASADENA, CA 91030-4989
- **Mailing address phone:** (626) 799-8855
- **Mailing address fax:** (626) 799-1099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111NN1001X | Nutrition Chiropractor | 17488 | CA | — |
| 111NR0400X | Rehabilitation Chiropractor | 17488 | CA | — |
| 111NX0100X | Occupational Health Chiropractor | 17488 | CA | — |
| 111NX0800X | Orthopedic Chiropractor | 17488 | CA | — |
| 171100000X | Acupuncturist | AC3297 | CA | Yes |

## Other

- **Enumeration date:** 10/27/2010
- **Last updated:** 10/27/2010