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Individual

MRS. FOROOZAN ARDALAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
L.AC.

Contact information

Practice address
17200 VENTURA BLVD, SUITE 212, ENCINO, CA 91316-4005
(818) 995-4488
(818) 995-3140
Mailing address
17200 VENTURA BLVD, SUITE 212, ENCINO, CA 91316-4005
(818) 995-4488
(818) 995-3140

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7606
CA

Other

Enumeration date
07/05/2006
Last updated
07/08/2007
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