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Organization
RISE OF THE PHOENIX WHOLE HEALTH CENTER
Active
Organization
RISE OF THE PHOENIX WHOLE HEALTH CENTER
Active
Other names
Highland Park Wellness Center, Center Of Balanced Health
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DIANA ROMAN L.AC (OWNER)
(805) 405-1250
Entity
Organization
Contact information
Practice address
1703 N AVALON BLVD, WILMINGTON, CA 90744-1432
(805) 405-1250
Mailing address
810 COOPER AVE, LOS ANGELES, CA 90042-1516
(805) 405-1250
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
04/09/2020
Last updated
04/09/2020
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