Organization
GREEN HEALTH ACUPUNCTURE
Active
Other names
iMed
Organization subpart
No
Provider details
NPI number
Authorized official
OLESIA FARBEROV L.AC. (LICENSED ACUPUNCTURIST & HERBALIST)
(310) 831-2202
Entity
Organization
Contact information
Practice address
150 W 6TH ST, SAN PEDRO, CA 90731-3300
(310) 831-2202
Mailing address
150 W 6TH ST, SAN PEDRO, CA 90731-3300
(310) 831-2202
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC10112
CA
208100000X
Physical Medicine & Rehabilitation Physician
2431
CA
Other
Enumeration date
12/22/2010
Last updated
12/22/2010
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