Organization
FUN LAC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHENFANG SHARON CHANG (CEO)
(626) 271-6671
Entity
Organization
Contact information
Practice address
9337 VERVAIN ST, SAN DIEGO, CA 92129-3571
(626) 271-6671
Mailing address
9337 VERVAIN ST, SAN DIEGO, CA 92129-3571
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC13570
CA
Other
Enumeration date
10/17/2011
Last updated
10/17/2011
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