| NPI | 1982803086 |
|---|---|
| Former Legal Business Name | DBAGOODWILLSMEDICALCENTER |
| Entity Type | Organization |
| Authorized Contact | BAO QIN CHEN President/Acupuncturist 323-721-5198 |
| Organization Subpart ? | No |
| Primary Taxonomy | 171100000X Acupuncturist (Licence: CA AC8733) |
| Enumeration Date | 2007-07-17 |
| Last Update Date | 2007-07-17 |