# HOLISTIC SPORTS ACUPUNCTURE

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

## Provider details

- **NPI number:** 1639550247
- **Authorized official:** MELANI LEONARD-COOPER L.AC. (OWNER/ACUPUNCTURIST)
- **Authorized official phone:** (323) 710-6751

## Contact information

- **Practice address:** 1000 E DOMINGUEZ ST, SUITE 101, CARSON, CA 90746-3600
- **Practice address phone:** (310) 327-1325
- **Mailing address:** 1627 N POINSETTIA PL, APT.17, LOS ANGELES, CA 90046-3566

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC 14368 | CA | Yes |

## Other

- **Enumeration date:** 06/10/2015
- **Last updated:** 06/10/2015