Organization
BEVERLY ACUPUNCTURE AND HERB
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN SONG (OWNER)
(213) 407-0494
Entity
Organization
Contact information
Practice address
5615 E BEVERLY BLVD, LOS ANGELES, CA 90022-2803
(213) 407-0494
Mailing address
5615 E BEVERLY BLVD, LOS ANGELES, CA 90022-2803
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
12/21/2016
Last updated
12/21/2016
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