MEDICARE: STUDIO CITY ORIENTAL MEDICAL CENTER

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	3643	CA

General Provider Information

NPI Number	:	1295025708
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	STUDIO CITY ORIENTAL MEDICAL CENTER

Provider Business Mailing Address
First Line	:	13735 VENTURA BLVD
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-3023
Country	:	US
Telephone Number	:	818-789-2468
Fax Number	:

Provider Business Practice Location Address
First Line	:	13735 VENTURA BLVD
Second Line	:
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91423-3023
Country	:	US
Telephone Number	:	818-789-2468
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NEAL S MILLER
Credential	:
Telephone Number	:	818-789-2468

Provider Enumeration Date	:	04/18/2011
Last Update Date	:	04/18/2011

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Directions to “STUDIO CITY ORIENTAL MEDICAL CENTER ” Practice Location

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