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NPI Code Detail

MEDICARE: BEN CAO TANG ACUPUNCTURE HERBS CENTER

MEDICARE: BEN CAO TANG ACUPUNCTURE HERBS CENTER
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
1320700000XPhysical Disabilities Residential Treatment FacilityL.AC 7326CA

General Provider Information

NPI Number : 1558677419
Entity Type Code : Organization
Provider Name (Legal Business Name) : BEN CAO TANG ACUPUNCTURE HERBS CENTER
Provider Business Mailing Address
First Line : 1011 N BROADWAY STE 203
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-1452
Country : US
Telephone Number : 323-226-0188
Fax Number : 626-457-6022
Provider Business Practice Location Address
First Line : 1011 N BROADWAY STE 203
Second Line :
City : LOS ANGELES
State : CA
Zip : 90012-1452
Country : US
Telephone Number : 323-226-0188
Fax Number : 626-457-6022
Authorized Official
Title or Position : ACUPUNCTURIST
Name : DR. CHARLENE CADE
Credential : PH.D
Telephone Number : 323-226-0188
Provider Enumeration Date : 08/28/2010
Last Update Date : 08/28/2010

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Directions to “BEN CAO TANG ACUPUNCTURE HERBS CENTER ” Practice Location

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