Organization
SOURCE POINT WELLNESS
Active
Other names
Amanda Cohen L.Ac., Amanda Cohen
Organization subpart
No
Provider details
NPI number
Authorized official
DR. AMANDA COHEN DAOM, L.A.C (DOCTOR, OWNER)
(424) 835-0884
Entity
Organization
Contact information
Practice address
3036 GLENDALE BLVD, LOS ANGELES, CA 90039
(424) 835-0884
(323) 978-5158
Mailing address
3036 GLENDALE BLVD, LOS ANGELES, CA 90039
(424) 835-0884
(323) 978-5158
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
—
208D00000X
General Practice Physician
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
06/05/2015
Last updated
06/26/2020
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