# FULLER ACUPUNCTURE CLINIC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912355181
- **Authorized official:** MS. FEI HE LA.C (OWNER)
- **Authorized official phone:** (626) 318-9174

## Contact information

- **Practice address:** 1 S FAIR OAKS AVE STE 205, PASADENA, CA 91105-1945
- **Practice address phone:** (626) 318-9174
- **Practice address fax:** (626) 356-1888
- **Mailing address:** 1 S FAIR OAKS AVE STE 205, PASADENA, CA 91105-1945
- **Mailing address phone:** (626) 318-9174
- **Mailing address fax:** (626) 356-1888

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | 8215 | CA | Yes |

## Other

- **Enumeration date:** 05/28/2016
- **Last updated:** 05/28/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 8215 | LA.C | CA |