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Organization

FOSTER RYAN, LAC

Active
Other names
Mar Vista Center for Acupuncture
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MAURY FOSTER RYAN LAC (ACUPUNCTURIST)
(310) 390-7155
Entity
Organization

Contact information

Practice address
12114 VENICE BLVD, LOS ANGELES, CA 90066-3812
(310) 390-7155
(310) 390-7836
Mailing address
12114 VENICE BLVD, LOS ANGELES, CA 90066-3812
(310) 390-7155
(310) 390-7836

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC7559
CA

Other

Enumeration date
10/19/2015
Last updated
10/19/2015
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