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Organization
ROGER S CHAN
Active
Organization
ROGER S CHAN
Active
Other names
Las Tunas Acupuncture & Herbs Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROGER S CHAN L.AC (OWNER)
(626) 285-6373
Entity
Organization
Contact information
Practice address
206 E LAS TUNAS DR, #1, SAN GABRIEL, CA 91776-1411
(626) 285-6373
(626) 285-6373
Mailing address
206 E LAS TUNAS DR, #1, SAN GABRIEL, CA 91776-1411
(626) 285-6373
(626) 285-6373
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC5600
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC5600
ACUPUNCTURE
CA
Enumeration date
09/29/2014
Last updated
09/29/2014
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