Individual
CAROLINE LA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
400 N TUSTIN AVE STE 380, NORTH TUSTIN, CA 92705-3833
(714) 730-2233
Mailing address
PO BOX 11512, NEWPORT BEACH, CA 92658-5032
(949) 394-7137
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC14123
CA
Other
Enumeration date
03/31/2011
Last updated
03/31/2011
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