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Organization

ACUPUNCTURE AND HERBAL HOLISTIC CARE

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. SEPIDEH LACKPOUR PH.D., L.AC. (PRESIDENT)
(310) 749-6971
Entity
Organization

Contact information

Practice address
827 DEEP VALLEY DR, SUITE 103, ROLLING HILLS ESTATES, CA 90274-3692
(310) 749-6971
Mailing address
827 DEEP VALLEY DR, SUITE 103, ROLLING HILLS ESTATES, CA 90274-3692
(310) 749-6971

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC5194
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1699846956
PERSONAL NPI
CA
Enumeration date
04/20/2016
Last updated
04/20/2016
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