# FATA INC

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

## Provider details

- **NPI number:** 1932439486
- **Authorized official:** SOON PARK (PRESIDENT)
- **Authorized official phone:** (661) 633-9673

## Contact information

- **Practice address:** 2004 BRUNDAGE LANE, BAKERSFIELD, CA 93304
- **Practice address phone:** (661) 663-9673
- **Mailing address:** 2004 BRUNDAGE LANE, BAKERSFIELD, CA 93304
- **Mailing address phone:** (661) 663-9673

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC12047 | CA | Yes |

## Other

- **Enumeration date:** 01/06/2010
- **Last updated:** 01/06/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | AC12047 | ACUPUNCTURE | CA |