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Organization
MICHAEL VAN INC.
Active
Organization
MICHAEL VAN INC.
Active
Other names
OM Acupuncture Medical Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MICHAEL VAN L. AC., PH. D. (CEO)
(951) 343-2848
Entity
Organization
Contact information
Practice address
10174 INDIANA AVE, RIVERSIDE, CA 92503-5304
(951) 343-2848
(951) 343-2969
Mailing address
10174 INDIANA AVE, RIVERSIDE, CA 92503-5304
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC9129
CA
171100000X
Acupuncturist
Primary
AC9368
CA
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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