Organization
FULL BLOOM ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALEC BRIDGES L AC. (OWNER)
(323) 717-5433
Entity
Organization
Contact information
Practice address
655 COPELAND CT APT C, SANTA MONICA, CA 90405-4478
(323) 717-5433
Mailing address
655 COPELAND CT APT C, SANTA MONICA, CA 90405-4478
(323) 717-5433
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16792
CA
Other
Enumeration date
07/05/2016
Last updated
07/05/2016
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