Individual
FE TER YIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ACUPUNTURIST
Contact information
Practice address
1121 E VALLEY BLVD, SAN GABRIEL, CA 91776-3610
(626) 288-3355
(626) 288-3711
Mailing address
15404 HOLLIS ST, HACIENDA HTS, CA 91745-3321
(626) 831-0990
(626) 369-5285
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC1600
CA
Other
Enumeration date
05/25/2007
Last updated
07/08/2007
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