Fun Lac INC

NPI #1174903215 in Upland, California

Provider Information

NPI Number: 1174903215
Entity Type: Organization
Organization Name: Fun Lac INC
Primary Specialty: Acupuncturist
Enumeration Date: Jun 4, 2015
Last Updated: Jun 4, 2015

Practice Location

Address: 77 E 7TH ST STE B
City: Upland
State: California
ZIP Code: 91786-6601
Phone: (909) 294-6198

Authorized Official

Name: SHENFANG SHARON CHANG
Title: OWNER
Phone: (858) 722-8868

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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