Individual
GAVIN WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC.
Contact information
Practice address
901 E VALLEY BLVD, SAN GABRIEL, CA 91776-3608
(626) 280-8856
Mailing address
901 E VALLEY BLVD, SAN GABRIEL, CA 91776-3608
(626) 280-8856
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC9190
CA
Other
Enumeration date
04/11/2007
Last updated
10/14/2009
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