MEDICARE: THE HILL ACUPUNCTURE

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	17828	CA
2	171100000X	Acupuncturist	17818	CA

General Provider Information

NPI Number	:	1780183384
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	THE HILL ACUPUNCTURE

Provider Business Mailing Address
First Line	:	46-E PENINSULA CENTER DRIVE #394
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274
Country	:	US
Telephone Number	:	310-237-5990
Fax Number	:

Provider Business Practice Location Address
First Line	:	26431 DUNWOOD RD
Second Line	:
City	:	ROLLING HILLS ESTATES
State	:	CA
Zip	:	90274-2306
Country	:	US
Telephone Number	:	303-437-2975
Fax Number	:	303-437-2975

Authorized Official
Title or Position	:	L.AC, MTOM, OWNER
Name	:	MR. DANIEL B LYMAN
Credential	:	L.AC
Telephone Number	:	310-237-5990

Provider Enumeration Date	:	02/08/2018
Last Update Date	:	02/08/2018

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Directions to “THE HILL ACUPUNCTURE ” Practice Location

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