Organization
WUXIA INTEGRATIVE MEDICINE
Active
Other names
Wuxia Acupuncture Medicine, Wuxia Integrative Medicine
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE WONG L.AC (PRESIDENT)
(626) 639-3887
Entity
Organization
Contact information
Practice address
2595 E WASHINGTON BLVD STE 108, PASADENA, CA 91107-1409
(626) 639-3887
(626) 688-5889
Mailing address
1550 MIRASOL DR, SAN MARINO, CA 91108-2737
(323) 639-3372
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
Primary
AC17768
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831690783
NPI INDIVIDUAL JEANNIE WONG
—
Enumeration date
08/02/2018
Last updated
05/01/2020
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