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Organization
SINO-LEGACY ACUPUNCTURE CLINIC
Active
Organization
SINO-LEGACY ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAMON CHARLES FRACH PHD (OWNER DIRECTOR)
(408) 984-2455
Entity
Organization
Contact information
Practice address
46164 WARM SPRINGS BLVD, UNIT 266, FREMONT, CA 94539-7985
(510) 623-8787
(510) 623-8788
Mailing address
46164 WARM SPRINGS BLVD, UNIT 266, FREMONT, CA 94539-7985
(510) 623-8787
(510) 623-8788
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
DC0278260
CA
111N00000X
Chiropractor
DC27826
CA
111NI0013X
Independent Medical Examiner Chiropractor
DC18679
CA
171100000X
Acupuncturist
AC0066920
CA
171100000X
Acupuncturist
Primary
AC11584
CA
171100000X
Acupuncturist
AC13796
CA
171100000X
Acupuncturist
AC2765
CA
171100000X
Acupuncturist
AC6692
CA
Other
Enumeration date
03/14/2011
Last updated
06/21/2012
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