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NPI Code Detail

MEDICARE: ACUPUNCTURE & HERB CLINIC, INC.

MEDICARE: ACUPUNCTURE & HERB CLINIC, 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
1171100000XAcupuncturistAC 7212CA

General Provider Information

NPI Number : 1285704346
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACUPUNCTURE & HERB CLINIC, INC.
Provider Business Mailing Address
First Line : 970 CAMERADO DR STE 202
Second Line :
City : CAMERON PARK
State : CA
Zip : 95682-7636
Country : US
Telephone Number : 530-677-0404
Fax Number : 530-677-2504
Provider Business Practice Location Address
First Line : 970 CAMERADO DR STE 202
Second Line :
City : CAMERON PARK
State : CA
Zip : 95682-7636
Country : US
Telephone Number : 530-677-0404
Fax Number : 530-677-2504
Authorized Official
Title or Position : CFO
Name : DAN ORTEGO
Credential :
Telephone Number : 530-677-0404
Provider Enumeration Date : 11/08/2006
Last Update Date : 08/22/2020

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Directions to “ACUPUNCTURE & HERB CLINIC, INC. ” Practice Location

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