Organization
AMALIA GARDNER, L.AC.
Active
Other names
Pardon My Heart LA
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. AMALIA TASOULA GARDNER L.AC. (OWNER/ACUPUNCTURIST)
(760) 579-9599
Entity
Organization
Contact information
Practice address
5028 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-1908
(760) 579-9599
Mailing address
5028 EAGLE ROCK BLVD, LOS ANGELES, CA 90041-1908
(760) 579-9599
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC16632
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1770962979
NPI
CA
Enumeration date
11/14/2017
Last updated
11/14/2017
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