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Organization
SACRED FORTUNE
Active
Organization
SACRED FORTUNE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TERESA THOMAS (BILLING MANAGER)
(424) 247-6468
Entity
Organization
Contact information
Practice address
1159 LOGAN ST, LOS ANGELES, CA 90026-3210
(310) 880-2216
Mailing address
2362 SCOTT AVE, LOS ANGELES, CA 90026-2458
(310) 880-2216
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
08/10/2022
Last updated
08/10/2022
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