Individual
DR. ATA KELLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.AC., MD
Contact information
Practice address
25272 BENTLEY, LAGUNA HILLS, CA 92653-4610
(818) 427-8417
Mailing address
25272 BENTLEY, LAGUNA HILLS, CA 92653-4610
(818) 427-8417
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
9891
CA
Other
Enumeration date
01/24/2007
Last updated
04/11/2016
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