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Organization

RENEW ACUPUNCTURE CLINIC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. THOMAS DOO CHANG L.AC. PH.D (PARTER)
(714) 538-9988
Entity
Organization

Contact information

Practice address
1132 E KATELLA AVENUE STE. A14, ORANGE, CA 92867
(714) 538-9988
Mailing address
1132 E KATELLA AVE STE A14, ORANGE, CA 92867-5044
(714) 538-9988

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
6818
CA

Other

Enumeration date
10/28/2015
Last updated
10/28/2015
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