Organization
123 CLINIC AND ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALLAN C CHANG LAC, DAOM (OWNER)
(626) 593-1233
Entity
Organization
Contact information
Practice address
18800 AMAR RD, SUITE A8, WALNUT, CA 91789-4166
(626) 593-1233
(626) 608-0318
Mailing address
18800 AMAR RD, SUITE A8, WALNUT, CA 91789-4166
(626) 593-1233
(626) 608-0318
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
—
CA
207Q00000X
Family Medicine Physician
Primary
—
CA
207V00000X
Obstetrics & Gynecology Physician
—
CA
Other
Enumeration date
04/07/2015
Last updated
03/10/2016
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