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Organization
SPIRIT GATE WELLNESS
Active
Organization
SPIRIT GATE WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA THOMAS (BILLING MANAGER)
(424) 247-6468
Entity
Organization
Contact information
Practice address
5259 W PICO BLVD, LOS ANGELES, CA 90019-4043
(424) 247-6468
Mailing address
1514 N BEVERLY DR, BEVERLY HILLS, CA 90210-2314
(310) 630-9836
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
07/25/2022
Last updated
07/25/2022
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