| 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 |