Organization
MYQI
Active
Organization
MYQI
Active
Other names
Create Wellness
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA SHY CHEN DAOM, L.AC. (ACUPUNCTURIST)
(310) 490-6982
Entity
Organization
Contact information
Practice address
1137 2ND ST STE 119, SANTA MONICA, CA 90403-5073
(310) 490-6982
Mailing address
1139 26TH ST APT C, SANTA MONICA, CA 90403-4630
(131) 049-0698
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
—
—
Other
Enumeration date
09/28/2018
Last updated
09/28/2018
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