MEDICARE: RAHGI ABAZA 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	20579	CA

General Provider Information

NPI Number	:	1073469219
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAHGI ABAZA L.AC.

Provider Business Mailing Address
First Line	:	12330 STANWOOD DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-1057
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	12330 STANWOOD DR
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90066-1057
Country	:	US
Telephone Number	:	631-741-0030
Fax Number	:	631-741-0030

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

Provider Enumeration Date	:	03/09/2026
Last Update Date	:	03/09/2026

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