Individual
DR. HAMIDREZA FARDGHASSEMLOU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D., L.AC
Contact information
Practice address
10920 WILSHIRE BLVD, SUITE 150-9241, LOS ANGELES, CA 90024-6502
(310) 980-6677
(310) 441-1133
Mailing address
10920 WILSHIRE BLVD, SUITE 150-9241, LOS ANGELES, CA 90024-3990
(310) 980-6677
(310) 441-1133
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC4257
CA
Other
Enumeration date
02/12/2007
Last updated
07/08/2007
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