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MR. CHUN YI FAN L.AC

>> Acupuncturist >> Other Service Providers

Registrant NPI Number: 1164741310

Individual Registrant:
MR. CHUN YI  FAN L.AC
Gender: M
Not Sole Proprietor

Location and contact information for practice:
18575 GALE AVE STE 265  CITY OF INDUSTRY, CA 91748-1384 US
Tel: 626-623-8684  Fax: --

Contact information for business:
421 S 5TH AVE  LA PUENTE, CA 91746-3008 US
Tel: 949-690-3554  Fax: --

Registration Information:
NPI: 1164741310
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y171100000XOther Service Providers
Acupuncturist
CA13708

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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