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Organization
NEW LIFE ACUPUNCTURE & HERB CENTER, INC.
Active
Organization
NEW LIFE ACUPUNCTURE & HERB CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FANJIE MENG L. AC., D.O.M. (CHIEF FINANCIAL OFFICER)
(626) 340-1489
Entity
Organization
Contact information
Practice address
507 MISSION ST, SOUTH PASADENA, CA 91030-3035
(626) 340-1489
Mailing address
3453 MARY ANN ST, LA CRESCENTA, CA 91214-2537
(626) 340-1489
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12237
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1881978583
SOLE PROPRIETOR
CA
Enumeration date
05/19/2014
Last updated
05/19/2014
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