Organization
AGLAIA ACUPUNCTURE PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YUNUEN BERISTAIN L.AC. (PRESIDENT)
(818) 428-9858
Entity
Organization
Contact information
Practice address
8929 S SEPULVEDA BLVD STE 100, LOS ANGELES, CA 90045-3616
(310) 878-0789
Mailing address
8838 DE HAVILAND AVE, LOS ANGELES, CA 90045-4114
(818) 428-9858
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC17554
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC17554
ACUPUNCTURE LICENSE
CA
Enumeration date
06/27/2018
Last updated
12/05/2023
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