Individual
JUTARA SRIVALI TEAL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC
Contact information
Practice address
3815 ATLANTIC AVE, #5, LONG BEACH, CA 90807-3500
(562) 896-3685
Mailing address
2933 CEDAR AVE, LONG BEACH, CA 90806-1414
(562) 896-3685
(562) 595-5682
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
AC13184
CA
Other
Enumeration date
09/09/2010
Last updated
09/12/2010
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