MEDICARE: ACUPUNCTURE WORKS

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	11029	CA
2	171100000X	Acupuncturist	11971	CA

General Provider Information

NPI Number	:	1699951319
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACUPUNCTURE WORKS

Provider Business Mailing Address
First Line	:	4940 VAN NUYS BLVD
Second Line	:	SUITE 303
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-1700
Country	:	US
Telephone Number	:	818-990-8928
Fax Number	:

Provider Business Practice Location Address
First Line	:	4940 VAN NUYS BLVD
Second Line	:	SUITE 303
City	:	SHERMAN OAKS
State	:	CA
Zip	:	91403-1700
Country	:	US
Telephone Number	:	818-990-8928
Fax Number	:

Authorized Official
Title or Position	:	GENERAL PARTNER
Name	:	SHERRY PATTERSON
Credential	:	L.AC.
Telephone Number	:	818-990-8928

Provider Enumeration Date	:	01/11/2008
Last Update Date	:	01/11/2008

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Directions to “ACUPUNCTURE WORKS ” Practice Location

Language	Start Address	Practice Location

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