Organization
LUM ACUPUNCTURE AND HERBAL MEDICINE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN LUM LAC (OWNER)
(505) 917-9292
Entity
Organization
Contact information
Practice address
16101 VENTURA BLVD STE 343, ENCINO, CA 91436-2516
(505) 917-9292
Mailing address
16101 VENTURA BLVD STE 343, ENCINO, CA 91436-2516
(505) 917-9292
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
1185
NM
261Q00000X
Clinic/Center
Primary
AC17604
CA
Other
Enumeration date
03/07/2016
Last updated
11/02/2017
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