Organization
FATA ACUPUNCTURE
Active
Other names
FATA, INC
Organization subpart
No
Provider details
NPI number
Authorized official
PAN SOO OH (OWNER)
(213) 215-4060
Entity
Organization
Contact information
Practice address
9048 SLAUSON AVE, PICO RIVERA, CA 90660-4521
(213) 215-4060
Mailing address
9048 SLAUSON AVE, PICO RIVERA, CA 90660-4521
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
AC 12609
CA
Other
Enumeration date
12/15/2015
Last updated
12/15/2015
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