MEDICARE: AAA ACUPUNCTUER 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
1	171100000X	Acupuncturist	4470	CA

General Provider Information

NPI Number	:	1568652451
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AAA ACUPUNCTUER INC

Provider Business Mailing Address
First Line	:	6022 W PICO BLVD
Second Line	:	105
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-2677
Country	:	US
Telephone Number	:	310-402-6903
Fax Number	:	619-934-3300

Provider Business Practice Location Address
First Line	:	6602 W.PICO BL.
Second Line	:	105
City	:	LOS ANGELES
State	:	CA
Zip	:	90035-2677
Country	:	US
Telephone Number	:	310-402-6903
Fax Number	:	619-934-3300

Authorized Official
Title or Position	:	CEO
Name	:	MRS. XIAOLING JIANG CHAN
Credential	:
Telephone Number	:	619-934-3300

Provider Enumeration Date	:	07/27/2007
Last Update Date	:	07/27/2007

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Directions to “AAA ACUPUNCTUER INC ” Practice Location

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