Organization
ACUPUNCTURE & VITAL ENERGY PROMOTION HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YONG GUANG MAO BS (CO-OWNER)
(714) 838-7575
Entity
Organization
Contact information
Practice address
2620 WALNUT AVE, TUSTIN, CA 92780-7028
(714) 838-7575
Mailing address
2620 WALNUT AVE, TUSTIN, CA 92780-7028
(714) 838-7575
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC10814
CA
Other
Enumeration date
10/23/2012
Last updated
10/23/2012
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