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NPI Code Detail

MEDICARE: NAOMI CLINIC, INC

MEDICARE: NAOMI 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
1171100000XAcupuncturist

General Provider Information

NPI Number : 1376325795
Entity Type Code : Organization
Provider Name (Legal Business Name) : NAOMI CLINIC, INC
Provider Business Mailing Address
First Line : 3030 W 6TH ST # 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90020-1506
Country : US
Telephone Number : 213-381-6882
Fax Number : 323-544-6567
Provider Business Practice Location Address
First Line : 3030 W 6TH ST # 100
Second Line :
City : LOS ANGELES
State : CA
Zip : 90020-1506
Country : US
Telephone Number : 213-381-6882
Fax Number : 323-544-6567
Authorized Official
Title or Position : CEO
Name : NAOMI PARK
Credential :
Telephone Number : 213-381-6882
Provider Enumeration Date : 10/19/2023
Last Update Date : 10/19/2023

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Directions to “NAOMI CLINIC, INC ” Practice Location

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