Organization
CLINIC FOR PAIN AND ANXIETY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. HANA DOUSTAR LAC (OWNER)
(424) 281-0345
Entity
Organization
Contact information
Practice address
1125 S BEVERLY DR, SUITE 610, LOS ANGELES, CA 90035-1148
(424) 281-0345
Mailing address
1928 FOX HILLS DR, LOS ANGELES, CA 90025-5104
(310) 754-5533
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC17420
CA
Other
Enumeration date
10/26/2016
Last updated
03/16/2017
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