Organization
CLASSICAL ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONA DINARI L.AC (OWNER)
(310) 473-2090
Entity
Organization
Contact information
Practice address
1554 S SEPULVEDA BLVD STE 209, LOS ANGELES, CA 90025-3359
(310) 473-2090
Mailing address
1554 S SEPULVEDA BLVD STE 209, LOS ANGELES, CA 90025-3359
(310) 473-2090
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1730386624
NPI
CA
Enumeration date
04/29/2019
Last updated
04/29/2019
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