Individual
ALEXANDER TIMA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LAC
Contact information
Practice address
800 S CENTRAL AVE, SUITE 206, GLENDALE, CA 91204-4370
(310) 622-5034
Mailing address
800 S CENTRAL AVE, SUITE 206, GLENDALE, CA 91204-4370
(310) 622-5034
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
17224
CA
Other
Enumeration date
08/03/2016
Last updated
08/03/2016
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