Organization
FRED DONG ACUPUNCTURE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUN C DONG L.AC (PRESIDENT)
(408) 366-1330
Entity
Organization
Contact information
Practice address
430 MONTEREY AVE STE 1B, LOS GATOS, CA 95030-5323
(408) 399-9888
Mailing address
430 MONTEREY AVE STE 1B, LOS GATOS, CA 95030-5323
(408) 399-9888
Taxonomy
Speciality
Code
Description
License number
State
302R00000X
Health Maintenance Organization
Primary
12102
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12102
ACUPUNCTURE
CA
Enumeration date
03/27/2008
Last updated
04/28/2008
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