Organization
MCLA ACUPUNCTURE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MANUEL CANABAL L.AC. (PRESIDENT)
(310) 462-0083
Entity
Organization
Contact information
Practice address
8134 VAN NUYS BLVD, #100, PANORAMA CITY, CA 91402-4801
(818) 904-6700
Mailing address
5023 W 138TH ST, HAWTHORNE, CA 90250-6544
Taxonomy
Speciality
Code
Description
License number
State
261QH0100X
Health Service Clinic/Center
Primary
AC12605
CA
Other
Enumeration date
06/14/2015
Last updated
06/14/2015
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