Organization
LICE CLINICS OF AMERICA HUNTINGTON BEACH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ALYSON POPA (OWNER)
(661) 478-8779
Entity
Organization
Contact information
Practice address
18682 BEACH BLVD STE 105, HUNTINGTON BEACH, CA 92648-2049
(714) 655-4747
Mailing address
18682 BEACH BLVD STE 105, HUNTINGTON BEACH, CA 92648-2049
(714) 655-4747
Taxonomy
Speciality
Code
Description
License number
State
247200000X
Other Technician
Primary
—
—
Other
Enumeration date
03/07/2017
Last updated
03/07/2017
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