MEDICARE: ERIKA WU LEE L.AC.

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	AC8557	CA

General Provider Information

NPI Number	:	1073743522
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ERIKA WU LEE L.AC.

Provider Business Mailing Address
First Line	:	210 S CARSON RD
Second Line	:
City	:	BEVERLY HILLS
State	:	CA
Zip	:	90211-2904
Country	:	US
Telephone Number	:	310-488-0750
Fax Number	:	818-506-3889

Provider Business Practice Location Address
First Line	:	5652 VINELAND AVE STE 201
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91601-2062
Country	:	US
Telephone Number	:	818-506-0485
Fax Number	:	818-506-3889

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

Provider Enumeration Date	:	07/17/2009
Last Update Date	:	11/14/2014

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