MEDICARE: HERBALROOM

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	7330	CA

General Provider Information

NPI Number	:	1821125980
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HERBALROOM

Provider Business Mailing Address
First Line	:	5910 MONTEREY RD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-4943
Country	:	US
Telephone Number	:	323-551-5962
Fax Number	:	323-417-4767

Provider Business Practice Location Address
First Line	:	5910 MONTEREY RD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90042-4943
Country	:	US
Telephone Number	:	323-551-5962
Fax Number	:	323-417-4767

Authorized Official
Title or Position	:	CFO
Name	:	WENDY YU
Credential	:	L.AC.
Telephone Number	:	323-551-5962

Provider Enumeration Date	:	02/27/2007
Last Update Date	:	08/22/2020

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Directions to “HERBALROOM ” Practice Location

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