Organization
CA ACU, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHABNAM POURHASSANI M.S. L.AC. (PRESIDENT)
(949) 309-7359
Entity
Organization
Contact information
Practice address
180 NEWPORT CENTER DRIVE, SUITE 145, NEWPORT BEACH, CA 92660
(949) 309-7359
(949) 588-6858
Mailing address
180 NEWPORT CENTER DRIVE, SUITE 145, NEWPORT BEACH, CA 92660
(949) 309-7359
(949) 588-6858
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 12745
CA
Other
Enumeration date
07/08/2010
Last updated
10/19/2012
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