Organization
GREEN FIRST MEDICAL GROUP GU'S CHINESE ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. TA GU L.A.C. (OWNER/ACUPUNCTURIST)
(760) 885-9131
Entity
Organization
Contact information
Practice address
12180 RIDGECREST RD, #402, VICTORVILLE, CA 92395-7798
(760) 885-9131
Mailing address
12180 RIDGECREST RD, #402, VICTORVILLE, CA 92395-7798
(760) 885-9131
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC5176
CA
Other
Enumeration date
07/12/2012
Last updated
11/28/2012
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