MEDICARE: METAMORPHOSIS ACUPUNTURE

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

General Provider Information

NPI Number	:	1912862939
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	METAMORPHOSIS ACUPUNTURE

Provider Business Mailing Address
First Line	:	PO BOX 2517
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95063-2517
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	111 DAKOTA AVE STE 4
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-6626
Country	:	US
Telephone Number	:	831-239-4943
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	DR. MARILYN BERNSTEIN
Credential	:	LAC,DAOM
Telephone Number	:	831-239-4943

Provider Enumeration Date	:	12/22/2025
Last Update Date	:	12/22/2025

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Directions to “METAMORPHOSIS ACUPUNTURE ” Practice Location

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