Organization
GUO CHINESE MEDICAL CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LIANYING G FRASER LAC (PRESIDENT)
(909) 988-4089
Entity
Organization
Contact information
Practice address
1865 E 4TH ST UNIT C-1, ONTARIO, CA 91764-2652
(909) 988-4089
(909) 988-4027
Mailing address
1865 E 4TH ST UNIT C-1, ONTARIO, CA 91764-2652
(909) 988-4089
(909) 988-4027
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
LAC12291
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1093955057
NPPES
CA
01
—
LAC12291
STATE LICENSE
CA
Enumeration date
09/07/2018
Last updated
09/07/2018
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