# EAST WEST MEDICAL CLINIC

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

## Provider details

- **NPI number:** 1588840391
- **Authorized official:** MRS. MIMI TSAI (MANAGER)
- **Authorized official phone:** (714) 871-7118

## Contact information

- **Practice address:** 340 E COMMONWEALTH AVE, FULLERTON, CA 92832-2017
- **Practice address phone:** (714) 871-7118
- **Practice address fax:** (714) 871-3372
- **Mailing address:** 340 E COMMONWEALTH AVE, FULLERTON, CA 92832-2017
- **Mailing address phone:** (714) 871-7118
- **Mailing address fax:** (714) 871-3372

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 111N00000X | Chiropractor | — | NULL | — |
| 111N00000X | Chiropractor | — | — | — |
| 171100000X | Acupuncturist | — | NULL | Yes |
| 171100000X | Acupuncturist | — | — | Yes |
| 207Q00000X | Family Medicine Physician | — | NULL | — |
| 207Q00000X | Family Medicine Physician | — | — | — |

## Other

- **Enumeration date:** 01/11/2008
- **Last updated:** 09/11/2008