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NPI Code Detail

MEDICARE: ACUPUNCTURE & CHINESE MEDICINE ACADEMY, INC.

MEDICARE: ACUPUNCTURE & CHINESE MEDICINE ACADEMY, 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
1171100000XAcupuncturistAC5666CA

General Provider Information

NPI Number : 1346492170
Entity Type Code : Organization
Provider Name (Legal Business Name) : ACUPUNCTURE & CHINESE MEDICINE ACADEMY, INC.
Provider Business Mailing Address
First Line : 864 S ROBERTSON BLVD STE 211
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-1628
Country : US
Telephone Number : 310-652-1880
Fax Number : 310-652-1778
Provider Business Practice Location Address
First Line : 864 S ROBERTSON BLVD STE 211
Second Line :
City : LOS ANGELES
State : CA
Zip : 90035-1628
Country : US
Telephone Number : 310-652-1880
Fax Number : 310-652-1778
Authorized Official
Title or Position : PRESIDENT
Name : DR. XIULING MA
Credential : ACUPUNCTURIST, PH.D.
Telephone Number : 310-652-1880
Provider Enumeration Date : 10/10/2008
Last Update Date : 10/10/2008

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Directions to “ACUPUNCTURE & CHINESE MEDICINE ACADEMY, INC. ” Practice Location

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