MEDICARE: HEIDI GUIYAB

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	U02783	MD

General Provider Information

NPI Number	:	1245827948
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI GUIYAB

Provider Business Mailing Address
First Line	:	8701 TRUXTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3911
Country	:	US
Telephone Number	:	310-627-2524
Fax Number	:

Provider Business Practice Location Address
First Line	:	8701 TRUXTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3911
Country	:	US
Telephone Number	:	310-627-2524
Fax Number	:

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

Provider Enumeration Date	:	12/29/2020
Last Update Date	:	09/07/2021

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Directions to “ HEIDI GUIYAB ” Practice Location

Language	Start Address	Practice Location

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