MEDICARE: ACORN MEDICINE ACUPUNCTURE AND HERBAL CARE, INC.

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

General Provider Information

NPI Number	:	1073464202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ACORN MEDICINE ACUPUNCTURE AND HERBAL CARE, INC.

Provider Business Mailing Address
First Line	:	1683 NOVATO BLVD STE 7B
Second Line	:
City	:	NOVATO
State	:	CA
Zip	:	94947-3284
Country	:	US
Telephone Number	:	415-810-9682
Fax Number	:

Provider Business Practice Location Address
First Line	:	1683 NOVATO BLVD STE 7B
Second Line	:
City	:	NOVATO
State	:	CA
Zip	:	94947-3284
Country	:	US
Telephone Number	:	415-810-9682
Fax Number	:

Authorized Official
Title or Position	:	DOCTOR OF ACUPUNCTURE
Name	:	ARIANE WLASAK
Credential	:	DAOM, LAC
Telephone Number	:	415-819-9682

Provider Enumeration Date	:	02/04/2026
Last Update Date	:	02/04/2026

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