# ACUPUNCTURE CLINIC

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

## Provider details

- **NPI number:** 1558628248
- **Authorized official:** DR. SUBHASH RAMCHANDRA GHARMALKAR L.AC.,N.D. (DOCTOR)
- **Authorized official phone:** (714) 437-7710

## Contact information

- **Practice address:** 1530 BAKER ST, SUITE G, COSTA MESA, CA 92626-3752
- **Practice address phone:** (714) 437-7710
- **Mailing address:** 1530 BAKER ST, SUITE G, COSTA MESA, CA 92626-3752
- **Mailing address phone:** (714) 437-7710

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 302R00000X | Health Maintenance Organization | AC 4473,ND 182 | CA | Yes |

## Other

- **Enumeration date:** 04/18/2012
- **Last updated:** 04/18/2012