Organization
IVY ACUPUNCTURE & HERBAL HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LITEH CHANG L.AC. (VICE PRESIDENT)
(909) 869-8501
Entity
Organization
Contact information
Practice address
20265 VALLEY BLVD STE E, WALNUT, CA 91789-2655
(909) 869-8501
(909) 869-8401
Mailing address
20265 VALLEY BLVD STE E, WALNUT, CA 91789-2655
(909) 869-8501
(909) 869-8401
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
8680
CA
Other
Enumeration date
11/10/2006
Last updated
08/22/2020
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