Organization
ACU-CHIRO CLINIC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NELSON HAE LEE D.C., L.AC (PRESIDENT)
(323) 667-2400
Entity
Organization
Contact information
Practice address
3755 BEVERLY BLVD, 3RD FLOOR, LOS ANGELES, CA 90004-3539
(323) 667-2400
(323) 667-2411
Mailing address
3755 BEVERLY BLVD, 3RD FLOOR, LOS ANGELES, CA 90004-3539
(323) 667-2400
(323) 667-2411
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
DC29495
CA
171100000X
Acupuncturist
AC7286
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
AC7286
STATE LICENSE
CA
01
—
DC29495
STATE LICENSE
CA
Enumeration date
04/22/2008
Last updated
04/22/2008
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