Individual
DR. JACK ROBERT WITZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
12626 RIVERSIDE DR, SUITE 103, VALLEY VILLAGE, CA 91607-3420
(626) 644-7510
Mailing address
5409 KATHERINE AVE, SHERMAN OAKS, CA 91401-4922
(626) 644-7510
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC8398
CA
Other
Enumeration date
07/08/2006
Last updated
07/08/2007
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