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Organization

CKC ACUPUNCTURE, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS CHONG KU CHUN LAC (PRESIDENT)
(818) 894-4785
Entity
Organization

Contact information

Practice address
8741 VAN NUYS BLVD, SUITE 102, PANORAMA CITY, CA 91402-2440
(818) 894-4785
(818) 894-6061
Mailing address
8741 VAN NUYS BLVD, SUITE 102, PANORAMA CITY, CA 91402-2440
(818) 894-4785
(818) 894-6061

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC12009
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC12348
STATE LICENSE
CA
Enumeration date
03/18/2009
Last updated
05/18/2015
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