MEDICARE: DR. WEI MAO DC

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	111N00000X	Chiropractor	DC24494	CA

General Provider Information

NPI Number	:	1750426581
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. WEI MAO DC

Provider Business Mailing Address
First Line	:	7248 S LAND PARK DR
Second Line	:	SUITE 105
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-3660
Country	:	US
Telephone Number	:	916-393-8680
Fax Number	:	916-393-8679

Provider Business Practice Location Address
First Line	:	7248 S LAND PARK DR
Second Line	:	STE 105
City	:	SACRAMENTO
State	:	CA
Zip	:	95831-3661
Country	:	US
Telephone Number	:	916-393-8680
Fax Number	:	916-393-8679

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	02/07/2017

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Directions to “ DR. WEI MAO DC” Practice Location

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