Organization
ANDREA PENAGOS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA NATALIE PENAGOS L.AC. (LICENSED ACUPUNCTURIST)
(323) 578-0703
Entity
Organization
Contact information
Practice address
1254 S MULLEN AVE, LOS ANGELES, CA 90019-3017
(323) 578-0703
Mailing address
1254 S MULLEN AVE, LOS ANGELES, CA 90019-3017
(323) 578-0703
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
16543
CA
Other
Enumeration date
06/29/2015
Last updated
06/29/2015
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