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NPI Code Detail

MEDICARE: GOOGLE ACUPUNCTURE INC

MEDICARE: GOOGLE ACUPUNCTURE 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

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1AC15786OTHERCAACUPUNCTURE

General Provider Information

NPI Number : 1619405719
Entity Type Code : Organization
Provider Name (Legal Business Name) : GOOGLE ACUPUNCTURE INC
Provider Business Mailing Address
First Line : 500 S VIRGIL AVE STE 303
Second Line :
City : LOS ANGELES
State : CA
Zip : 90020-1449
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 500 S VIRGIL AVE STE 303
Second Line :
City : LOS ANGELES
State : CA
Zip : 90020-1449
Country : US
Telephone Number : 213-427-7600
Fax Number :
Authorized Official
Title or Position : CEO
Name : SEON KIM
Credential :
Telephone Number : 213-427-7600
Provider Enumeration Date : 06/01/2017
Last Update Date : 06/01/2017

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Directions to “GOOGLE ACUPUNCTURE INC ” Practice Location

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