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Organization

LIFE HERBS ACUPUNCTURE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DONG PARK (ACUPUNCTURIST)
(213) 700-9314
Entity
Organization

Contact information

Practice address
555 W REDONDO BEACH BLVD, STE 111, GARDENA, CA 90248-1612
(310) 756-0001
Mailing address
555 W REDONDO BEACH BLVD, STE 111, GARDENA, CA 90248-1612

Taxonomy

Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
AC8057
CA

Other

Enumeration date
11/11/2015
Last updated
11/11/2015
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