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Organization
ACUPUNCTURE AND HERBAL HOLISTIC CARE
Active
Organization
ACUPUNCTURE AND HERBAL HOLISTIC CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. SEPIDEH LACKPOUR PH.D., L.AC. (PRESIDENT)
(310) 749-6971
Entity
Organization
Contact information
Practice address
827 DEEP VALLEY DR, SUITE 103, ROLLING HILLS ESTATES, CA 90274-3692
(310) 749-6971
Mailing address
827 DEEP VALLEY DR, SUITE 103, ROLLING HILLS ESTATES, CA 90274-3692
(310) 749-6971
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC5194
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1699846956
PERSONAL NPI
CA
Enumeration date
04/20/2016
Last updated
04/20/2016
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