MEDICARE: BEIJING YIN L.AC.

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	L.AC.8677	CA

General Provider Information

NPI Number	:	1033313457
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BEIJING YIN L.AC.

Provider Business Mailing Address
First Line	:	925 E SAN ANTONIO DR STE 16
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2210
Country	:	US
Telephone Number	:	562-423-2288
Fax Number	:	562-423-2299

Provider Business Practice Location Address
First Line	:	925 E SAN ANTONIO DR STE 16
Second Line	:
City	:	LONG BEACH
State	:	CA
Zip	:	90807-2210
Country	:	US
Telephone Number	:	562-423-2288
Fax Number	:	562-423-2299

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/11/2007
Last Update Date	:	07/13/2009

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Directions to “ BEIJING YIN L.AC.” Practice Location

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