Organization
ACADEMIC MEDICAL CENTER, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEXIN BAO L.AC.,PH.D. (C.E.O.)
(626) 288-1199
Entity
Organization
Contact information
Practice address
2712 SAN GABRIEL BOULEVARD, ROSEMEAD, CA 91770
(626) 288-1199
(626) 288-4199
Mailing address
2712 SAN GABRIEL BOULEVARD, ROSEMEAD, CA 91770
(626) 288-1199
(626) 288-4199
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC3544
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245254143
ACUPUNCTURE AND MASSAGE
CA
Enumeration date
05/04/2007
Last updated
08/22/2020
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