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Contact Information

621 MEDICAL CLINIC
1041 S GARFIELD AVE.
SUITE 103
ALHAMBRA, CA91801
 Phone: 626-280-6317
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for 621 MEDICAL CLINIC · (Female)

NPI # 1730482803
Status Active
Credentials
Entity Individual
Enumeration date 12/13/2010
Last updated 12/13/2010 - About 15 years ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # AC13656
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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