Individual
AZITA ANSARI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2265 WESTWOOD BLVD STE A, LOS ANGELES, CA 90064-2050
(310) 365-3116
(310) 234-3401
Mailing address
1300 MIDVALE AVE, 202, LOS ANGELES, CA 90024-6268
(310) 365-3116
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 7466
CA
174400000X
Specialist
AC 7466
CA
Other
Enumeration date
04/02/2008
Last updated
04/02/2008
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