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NPI Code Detail

MEDICARE: BODY BALANCE HOLISTICS

MEDICARE: BODY BALANCE HOLISTICS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1171100000XAcupuncturistCA

General Provider Information

NPI Number : 1245784537
Entity Type Code : Organization
Provider Name (Legal Business Name) : BODY BALANCE HOLISTICS
Provider Business Mailing Address
First Line : 23517 MAIN ST STE 103
Second Line :
City : CARSON
State : CA
Zip : 90745-5234
Country : US
Telephone Number : 818-940-1168
Fax Number :
Provider Business Practice Location Address
First Line : 23517 MAIN ST STE 103
Second Line :
City : CARSON
State : CA
Zip : 90745-5234
Country : US
Telephone Number : 818-940-1168
Fax Number :
Authorized Official
Title or Position : ACUPUNCTURIST/PRESIDENT
Name : MR. JOHN K CHEUNG
Credential : L.AC
Telephone Number : 626-780-3015
Provider Enumeration Date : 08/04/2016
Last Update Date : 01/16/2026

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Directions to “BODY BALANCE HOLISTICS ” Practice Location

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