Organization
EAGLE CLASSIC WELLNESS INC
Active
Parent organization
EAGLE CLASSIC WELLNESS INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
EAGLE CLASSIC WELLNESS INC
Authorized official
DOCK JU CHEONG (PRESIDENT)
(909) 229-2721
Entity
Organization
Contact information
Practice address
1914 S WESTERN AVE, LOS ANGELES, CA 90018-1537
(909) 229-2721
Mailing address
1914 S WESTERN AVE, LOS ANGELES, CA 90018-1537
(909) 229-2721
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
225200000X
Physical Therapy Assistant
—
—
Other
Enumeration date
02/08/2020
Last updated
02/08/2020
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