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Organization
SUSAN SHAO L.AC.
Active
Organization
SUSAN SHAO L.AC.
Active
Other names
Susan Shao
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN SHAO ACUPUNCTURIST (OFFICER PRESIDENT & SECRETARY)
(714) 968-3325
Entity
Organization
Contact information
Practice address
9092 TALBERT AVE #10, FOUNTAIN VALLEY, CA 92708-4452
(714) 968-3325
Mailing address
9092 TALBERT AVE #10, FOUNTAIN VALLEY, CA 92708-4452
(714) 968-3325
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC-2948
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC-2948
CONSUMER AFFAIRS
CA
Enumeration date
04/30/2012
Last updated
04/30/2012
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