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Organization
JINGACHIM ORANGEWELL ACUPUNCTURE CLINIC P.C.
Active
Organization
JINGACHIM ORANGEWELL ACUPUNCTURE CLINIC P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BONG KWAN PARK L.AC. (OWNER)
(562) 928-8969
Entity
Organization
Contact information
Practice address
11422 OLD RIVER SCHOOL RD, DOWNEY, CA 90241-4407
(562) 928-8969
Mailing address
11422 OLD RIVER SCHOOL RD, DOWNEY, CA 90241-4407
(562) 928-8969
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC10718
CA
Other
Enumeration date
04/20/2010
Last updated
04/20/2010
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