MEDICARE: MS. ANNEMARIE ANGELONE 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	AC4873	CA

General Provider Information

NPI Number	:	1679689327
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ANNEMARIE ANGELONE L.AC,

Provider Business Mailing Address
First Line	:	1193 VALENCIA STREET
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94103-3026
Country	:	US
Telephone Number	:	415-647-6222
Fax Number	:

Provider Business Practice Location Address
First Line	:	1193 VALENCIA ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94110-3026
Country	:	US
Telephone Number	:	415-647-6222
Fax Number	:

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	07/08/2007

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