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NPI Code Detail

MEDICARE: MR. KRISTOPHER GOLDSMITH LAC

MEDICARE:  MR. KRISTOPHER  GOLDSMITH  LAC
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
1171100000XAcupuncturistAC11427CA

General Provider Information

NPI Number : 1710126974
Entity Type Code : Individual
Provider Name (Legal Business Name) : MR. KRISTOPHER GOLDSMITH LAC
Provider Business Mailing Address
First Line : 6336 WILSHIRE BLVD STE B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-5002
Country : US
Telephone Number : 323-951-9500
Fax Number :
Provider Business Practice Location Address
First Line : 6336 WILSHIRE BLVD STE B
Second Line :
City : LOS ANGELES
State : CA
Zip : 90048-5002
Country : US
Telephone Number : 323-951-9500
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/11/2009
Last Update Date : 02/11/2009

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Directions to “ MR. KRISTOPHER GOLDSMITH LAC” Practice Location

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