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General NPI Number Information
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NPI Number | 1417768680
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Entity Type | Organization
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Legal Business Name | ANJEL WELLNESS LLC
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Dates
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Enumeration Date | 01/16/2025
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 9301 WILSHIRE BLVD STE 313
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City | BEVERLY HILLS
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State | CA
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Zip | 90210-6131
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Country | US
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Telephone | 310-299-6643
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Fax | 760-797-1845
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Provider Business Mailing Address
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Address Line | 6522 W 6TH ST
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City | LOS ANGELES
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State | CA
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Zip | 90048-4716
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Country | US
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Telephone | 310-299-6643
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Fax | 760-797-1845
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Authorized Official
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Title or Position | OFFICER/ACUPUNCTURIST
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Name | ANJEL KHOUBIAN
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Credential | LAC
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Telephone | 310-299-6643
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number |
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License Number State |
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