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Individual

MR. CHUONG HOANG TA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
DAOM, L.AC,

Contact information

Practice address
14260 BEACH BLVD, WESTMINSTER, CA 92683
(657) 400-9163
(424) 232-8101
Mailing address
14260 BEACH BLVD, WESTMINSTER, CA 92683
(657) 400-9163
(424) 232-8101

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
15340
CA

Other

Enumeration date
06/20/2013
Last updated
06/27/2018
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