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General NPI Number Information
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NPI Number | 1912118886
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Entity Type | Individual
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Provider Name | SHARON ELAINE SKOK L. AC
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Gender | Female
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Dates
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Enumeration Date | 05/24/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 1067 N FAIRFAX AVE
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90046-6102
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Country | US
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Telephone | 310-733-8455
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Fax |
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Provider Business Mailing Address
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Address Line | 842 WESTBOURNE DR APT. 10
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City | WEST HOLLYWOOD
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State | CA
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Zip | 90069-4624
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Country | US
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Telephone | 310-652-7939
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AC10239
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License Number State | CA
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