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NPI Code Detail

MEDICARE: CIBRE, INC

MEDICARE: CIBRE, INC
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
1171100000XAcupuncturistAC4394CA

General Provider Information

NPI Number : 1225240161
Entity Type Code : Organization
Provider Name (Legal Business Name) : CIBRE, INC
Provider Business Mailing Address
First Line : 1223 WILSHIRE BLVD
Second Line : SUITE 1605
City : SANTA MONICA
State : CA
Zip : 90403-5400
Country : US
Telephone Number : 310-826-2238
Fax Number : 310-496-3047
Provider Business Practice Location Address
First Line : 1223 WILSHIRE BLVD
Second Line : SUITE 1605
City : SANTA MONICA
State : CA
Zip : 90403-5400
Country : US
Telephone Number : 310-826-2238
Fax Number : 310-496-3047
Authorized Official
Title or Position : OWNER
Name : AMIR FARAMARZ ZAGROSS
Credential : L.AC.
Telephone Number : 310-826-2238
Provider Enumeration Date : 05/04/2007
Last Update Date : 09/19/2012

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Directions to “CIBRE, INC ” Practice Location

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