MEDICARE: COMPASS ROSE ACUPUNCTURE AND HOLISTIC HEALTHCARE

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	15482	CA

General Provider Information

NPI Number	:	1003245812
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	COMPASS ROSE ACUPUNCTURE AND HOLISTIC HEALTHCARE

Provider Business Mailing Address
First Line	:	170 KING ST UNIT 401
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-4911
Country	:	US
Telephone Number	:	415-385-3669
Fax Number	:

Provider Business Practice Location Address
First Line	:	170 KING ST UNIT 401
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94107-4911
Country	:	US
Telephone Number	:	415-385-3669
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	JEANI P FINK
Credential	:	L.AC.
Telephone Number	:	415-385-3669

Provider Enumeration Date	:	11/02/2013
Last Update Date	:	11/02/2013

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