Organization
BTKA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YU WANG (CEO)
(310) 396-8482
Entity
Organization
Contact information
Practice address
1252 MORNINGSIDE WAY, VENICE, CA 90291-2932
(310) 396-8482
Mailing address
1252 MORNINGSIDE WAY, VENICE, CA 90291-2932
(310) 396-8482
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Enumeration date
05/21/2007
Last updated
08/22/2020
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