MEDICARE: PJ ZARAMSKAS 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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1285704346	OTHER	CA	CORPORATE NPI

General Provider Information

NPI Number	:	1205964145
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PJ ZARAMSKAS L.AC.

Provider Business Mailing Address
First Line	:	970 CAMERADO DR STE 202
Second Line	:
City	:	CAMERON PARK
State	:	CA
Zip	:	95682-7636
Country	:	US
Telephone Number	:	530-677-0404
Fax Number	:	530-677-2504

Provider Business Practice Location Address
First Line	:	970 CAMERADO DR STE 202
Second Line	:
City	:	CAMERON PARK
State	:	CA
Zip	:	95682-7636
Country	:	US
Telephone Number	:	530-677-0404
Fax Number	:	530-677-2504

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

Provider Enumeration Date	:	03/01/2007
Last Update Date	:	07/08/2007

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