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Organization

CHIN-WEN LAN ACUPUNCTURE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
CHIN-WEN LAN (OWNER)
(626) 656-5526
Entity
Organization

Contact information

Practice address
20272 CARREY RD, WALNUT, CA 91789-2302
(626) 656-5526
Mailing address
2609 ALTAMIRA DR, WEST COVINA, CA 91792-1904

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC15748
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
AC 15748
CALIFORNIA ACUPUNCTURE LICENSE
CA
Enumeration date
11/18/2015
Last updated
11/18/2015
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