Individual
MRS. GIANNA MIA DE LA TORRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LAC
Contact information
Practice address
7466 BEVERLY BLVD STE 203, LOS ANGELES, CA 90036-2764
(510) 847-4173
Mailing address
5267 CORINGA DR, LOS ANGELES, CA 90042-1044
(510) 847-4173
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 13587
CA
Other
Enumeration date
02/02/2011
Last updated
11/17/2014
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