=====================================================
General NPI Number Information
=====================================================
NPI Number | 1750438024
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | KARENA GOLDFINGER L. AC.
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/05/2007
-----------------------------------------------------
Last Update Date | 07/08/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1942 10TH AVE
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94116-1331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-504-7607
-----------------------------------------------------
Fax | 206-339-3734
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1942 10TH AVE
-----------------------------------------------------
City | SAN FRANCISCO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 94116-1331
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 415-504-7607
-----------------------------------------------------
Fax | 206-339-3734
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC 3524
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------