Individual
CHASITY CHAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., DIPL.OM.
Contact information
Practice address
4200 LATONA AVE, LOS ANGELES, CA 90031-1424
(704) 369-3706
Mailing address
4200 LATONA AVE, LOS ANGELES, CA 90031-1424
(704) 369-3706
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18379
CA
Other
Enumeration date
04/18/2019
Last updated
04/18/2019
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