| NPI | 1740343185 |
|---|---|
| Doing Business As | OM ACUPUNCTURE MEDICAL CLINIC |
| Entity Type | Organization |
| Authorized Contact | MICHAEL VAN CEO 951-343-2848 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC9368) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: CA AC9129) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2020-08-22 |