Organization
FANG MAO MEDICAL GROUP
Active
Other names
Profound Youth Acupuncture
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHI FANG HSU L.AC., O.M.D. (ACUPUNCTURIST / PRESIDENT)
(951) 582-0999
Entity
Organization
Contact information
Practice address
760 WASHBURN AVE, SUITE # 23, CORONA, CA 92882-3303
(951) 582-0999
(951) 582-0900
Mailing address
760 WASHBURN AVE, SUITE # 23, CORONA, CA 92882-3303
(951) 582-0999
(951) 582-0900
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11187
CA
Other
Enumeration date
02/25/2010
Last updated
02/25/2010
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