NPI | 1932456837 |
---|---|
Entity Type | Organization |
Authorized Contact | POLINA BOWLER Owner 323-936-8512 |
Organization Subpart ? | No |
Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC6293) |
Additional Taxonomies | 261QP2300X Clinic/Center Primary Care |
Enumeration Date | 2012-08-09 |
Last Update Date | 2012-10-18 |