# FATA ACUPUNCTURE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** FATA, INC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932564143
- **Authorized official:** PAN SOO OH (OWNER)
- **Authorized official phone:** (213) 215-4060

## Contact information

- **Practice address:** 9048 SLAUSON AVE, PICO RIVERA, CA 90660-4521
- **Practice address phone:** (213) 215-4060
- **Mailing address:** 9048 SLAUSON AVE, PICO RIVERA, CA 90660-4521

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC 12609 | CA | Yes |

## Other

- **Enumeration date:** 12/15/2015
- **Last updated:** 12/15/2015