Organization
WESTSIDE ACUPUNCTURE & WELLNESS CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RICARDO MIRANDA L.AC. (PRESIDENT)
(310) 914-1624
Entity
Organization
Contact information
Practice address
11850 WILSHIRE BLVD, SUITE 102, LOS ANGELES, CA 90025-6609
(310) 914-1624
(310) 696-2400
Mailing address
11850 WILSHIRE BLVD, SUITE 102, LOS ANGELES, CA 90025-6609
(310) 914-1624
(310) 696-2400
Taxonomy
Speciality
Code
Description
License number
State
261QM1300X
Multi-Specialty Clinic/Center
Primary
5165
CA
Other
Enumeration date
03/10/2009
Last updated
03/12/2009
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