MEDICARE: REBECCA MICHELLE-TAYLOR RIGGS 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	18622	CA

General Provider Information

NPI Number	:	1396385985
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	REBECCA MICHELLE-TAYLOR RIGGS L.AC.

Provider Business Mailing Address
First Line	:	1350 HAYES ST STE B13
Second Line	:
City	:	BENICIA
State	:	CA
Zip	:	94510-2933
Country	:	US
Telephone Number	:	925-890-4874
Fax Number	:

Provider Business Practice Location Address
First Line	:	4425 LINDEN ST
Second Line	:
City	:	OAKLAND
State	:	CA
Zip	:	94608-3419
Country	:	US
Telephone Number	:	925-890-4874
Fax Number	:

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

Provider Enumeration Date	:	01/10/2020
Last Update Date	:	01/13/2020

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