Individual
CARLA VIDOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
2712 WILSHIRE BLVD, SANTA MONICA, CA 90403-4706
(424) 744-8366
Mailing address
644 TROPHY TRL, TOPANGA, CA 90290-3659
(310) 924-5204
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
13025
CA
Other
Enumeration date
11/30/2009
Last updated
04/27/2021
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