MEDICARE: QUAN TRANG 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	AC7119	CA

General Provider Information

NPI Number	:	1326117797
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	QUAN TRANG L.AC.

Provider Business Mailing Address
First Line	:	501 N SANTA CRUZ AVE STE B
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95030-4355
Country	:	US
Telephone Number	:	408-385-1780
Fax Number	:	408-884-4048

Provider Business Practice Location Address
First Line	:	501 N SANTA CRUZ AVE STE B
Second Line	:
City	:	LOS GATOS
State	:	CA
Zip	:	95030-4355
Country	:	US
Telephone Number	:	408-385-1780
Fax Number	:	408-884-4048

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

Provider Enumeration Date	:	11/07/2006
Last Update Date	:	07/08/2007

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Directions to “ QUAN TRANG L.AC.” Practice Location

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