PACIFIC HEALING CENTER, INC.
Acupuncture at Wilshire Blvd, Los Angeles, CA

License number
California AC9254
Category
Acupuncture
Type
Acupuncturist
Owner
Name: MRS. SHERINE GANEGODA
Title: CREDENTIALING OFFICER
Phone: (213) 483-9902
Address
Address
1930 Wilshire Blvd SUITE 600, Los Angeles, CA 90057
National Provider ID: 1124206990
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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PACIFIC HEALING CENTER, INC

Los Angeles, CA

Status:
Inactive
Industry:
Health Practitioner's Office
Registration:
Dec 20, 2004
Addresses:
2010 Wilshire Blvd SUITE 710, Los Angeles, CA 90057 (Physical)
1930 Wilshire Blvd, Los Angeles, CA 90057
PO Box 57296, Los Angeles, CA 90057
State ID:
C2709565
Business type:
Articles of Incorporation
Presidents:
Sherine Ganegoda (Credentialing Officer, Principal),Sang Y. Lee President, inactive
Agent:
Andrew D Son,Los Angeles, CA 90010 (Physical)

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