Most Relevant Information
Provider Data
| NPI Number: | 1003271388 |
| Provider Name: | PASANAN MARINPONG |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC15078 |
Most Important Dates
| Enumeration Date: | 12/30/2015 |
| Last Updated: | 12/30/2015 |
Provider Practice Location
1253 VINE ST
LOS ANGELES
CA
900381662
Practice Location Phone/Fax
| Phone: | 3239609084 |
| Fax: |
Provider Mailing Location
411 LINCOLN AVE
UNIT 2
GLENDALE
CA
912054309
Provider Mailing Phone/Fax
| Phone: | 3097506470 |
| Fax: |