Organization
BEACON EAST ASIAN MEDICINE
Active
Other names
BEAMWELLNESS
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KAREN YONCHAE GORDON D.A.O.M (DOCTOR OF ACUPUNCTURE ORIENTAL MED.)
(213) 448-4254
Entity
Organization
Contact information
Practice address
379 W BELLEVUE DR, PASADENA, CA 91105-1833
(213) 448-4254
(626) 796-7187
Mailing address
96 W VILLA ST, PASADENA, CA 91103-3343
(213) 448-4254
(626) 796-7187
Taxonomy
Speciality
Code
Description
License number
State
305R00000X
Preferred Provider Organization
Primary
AC15193
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
64
ACUPUNCTURE
CA
01
—
AC15193
LICENSED ACUPUNCTURIST
CA
Enumeration date
03/27/2014
Last updated
03/27/2014
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