Organization
EHSAN DAYANIM ACUPUNCTURIST INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EHSAN ESI DAYANIM L.AC. (PRESIDENT)
(818) 981-6132
Entity
Organization
Contact information
Practice address
16661 VENTURA BLVD, ENCINO, CA 91436-1914
(818) 981-6132
Mailing address
15750 MORRISON ST, ENCINO, CA 91436-1544
(818) 981-6132
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
L.AC.4569
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
AC0045690
—
CA
05
—
AC0045691
—
CA
05
—
AC0045692
—
CA
Enumeration date
07/10/2006
Last updated
08/22/2020
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