Healthcare Provider Details

I. General information

NPI: 1265396857
Provider Name (Legal Business Name): JIMMY MEY L.AC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/09/2025
Last Update Date: 12/09/2025
Certification Date: 12/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 RESEARCH BLVD STE 380
ROCKVILLE MD
20850-3269
US

IV. Provider business mailing address

2401 RESEARCH BLVD STE 380
ROCKVILLE MD
20850-3269
US

V. Phone/Fax

Practice location:
  • Phone: 240-396-7667
  • Fax:
Mailing address:
  • Phone: 240-396-7667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU03245
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: