MEDICARE: MICHIKO MARX

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
1	171100000X	Acupuncturist	19608	CA

General Provider Information

NPI Number	:	1063110294
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHIKO MARX

Provider Business Mailing Address
First Line	:	PO BOX 70762
Second Line	:
City	:	SUNNYVALE
State	:	CA
Zip	:	94086-0762
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3462 OUTLOOK CT
Second Line	:
City	:	SAN JOSE
State	:	CA
Zip	:	95132-2422
Country	:	US
Telephone Number	:	415-963-2347
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/17/2023
Last Update Date	:	02/17/2023

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Directions to “ MICHIKO MARX ” Practice Location

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