MEDICARE: MIRIAM ELEWY 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	20467

General Provider Information

NPI Number	:	1669336681
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MIRIAM ELEWY L.AC.

Provider Business Mailing Address
First Line	:	2473 OSWEGO ST UNIT 4
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-4237
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2473 OSWEGO ST
Second Line	:
City	:	PASADENA
State	:	CA
Zip	:	91107-4207
Country	:	US
Telephone Number	:	626-794-1427
Fax Number	:

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

Provider Enumeration Date	:	12/13/2025
Last Update Date	:	12/13/2025

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