MEDICARE: MS. LURIKO PATRICIA OZEKI 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	AC12055	CA

General Provider Information

NPI Number	:	1518143908
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LURIKO PATRICIA OZEKI L.AC.

Provider Business Mailing Address
First Line	:	13075 PACIFIC PROMENADE
Second Line	:	APT. 414
City	:	LOS ANGELES
State	:	CA
Zip	:	90094-2111
Country	:	US
Telephone Number	:	310-770-9560
Fax Number	:

Provider Business Practice Location Address
First Line	:	11340 W. OLYMPIC BLVD
Second Line	:	STE 356
City	:	LOS ANGELES
State	:	CA
Zip	:	90064-1613
Country	:	US
Telephone Number	:	310-770-9560
Fax Number	:

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

Provider Enumeration Date	:	01/15/2008
Last Update Date	:	02/13/2009

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