Individual
MS. ELISA KANANI WONG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L. AC
Contact information
Practice address
923 S CATALINA AVE, PEDONDO BEACH, CA 90277
(310) 540-8333
(310) 540-8385
Mailing address
1203 N FAIRVALE AVE, COVINA, CA 91722
(626) 290-7999
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
12981
CA
Other
Enumeration date
06/03/2009
Last updated
04/28/2010
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