Organization
FULLER ACUPUNCTURE CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. FEI HE LA.C (OWNER)
(626) 318-9174
Entity
Organization
Contact information
Practice address
1 S FAIR OAKS AVE STE 205, PASADENA, CA 91105-1945
(626) 318-9174
(626) 356-1888
Mailing address
1 S FAIR OAKS AVE STE 205, PASADENA, CA 91105-1945
(626) 318-9174
(626) 356-1888
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
8215
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8215
LA.C
CA
Enumeration date
05/28/2016
Last updated
05/28/2016
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