Individual
FENGTAO WANG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
L.AC
Contact information
Practice address
2225 BROADWAY, SUITE C, SANTA MONICA, CA 90404-2976
(310) 828-0107
Mailing address
12340 MONTANA AVE, 106, LOS ANGELES, CA 90049-5235
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC11496
CA
Other
Enumeration date
02/06/2007
Last updated
07/08/2007
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