Los Angeles Center For Integrated Medicine

NPI 1053450189 - Acupuncturist - 171100000X

NPI Details
NPI 1053450189
Enumeration Date 02/05/2007
Last Updated 07/07/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name MARK WAYNE MARK
Position DIRECTOR OF MEDICINE
Phone (310) 497-1774
Fax
Practice Location
468 N CAMDEN DR
BEVERLY HILLS CA, 90210-4507, US
Phone (310) 497-1774
Fax
Business Location
468 N CAMDEN DR
BEVERLY HILLS CA, 90210-4507, US
Phone (310) 497-1774
Fax
Toxanomy
Taxonomy Code 171100000X
License State California
License Number PENDING GRADUATION
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According to our database, Los Angeles Center For Integrated Medicine NPI is 1053450189, taxonomy code is 171100000X and license number is PENDING GRADUATION, license state is located at California. Los Angeles Center For Integrated Medicine physically located at 468 N Camden Dr, Beverly Hills CA, 90210-4507. NPI Number 1033115704 has the healthcare provider type.

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1053450189 NPI number is provided on an as is basis without warranty of any kind. 1053450189 is maintained by the National Plan & Provider Enumeration System. The contents of Los Angeles Center For Integrated Medicine are for informational purposes only.