Organization
CW ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JUNTAE PARK LA.C (OWNER)
(562) 403-0127
Entity
Organization
Contact information
Practice address
11821 DEL AMO BLVD, CERRITOS, CA 90703-7605
(562) 403-0127
(562) 860-0280
Mailing address
11821 DEL AMO BLVD, CERRITOS, CA 90703-7605
(562) 403-0127
(562) 860-0280
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 13873
CA
Other
Enumeration date
09/16/2013
Last updated
09/16/2013
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