MEDICARE: LITTLE PIN ACUPUNCTURE

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	:	1265066559
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LITTLE PIN ACUPUNCTURE

Provider Business Mailing Address
First Line	:	235 JUDSON AVE
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94112-1848
Country	:	US
Telephone Number	:	415-602-6737
Fax Number	:

Provider Business Practice Location Address
First Line	:	1404 CHURCH ST
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94131-2016
Country	:	US
Telephone Number	:	415-533-3199
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	IVY HU
Credential	:	LAC
Telephone Number	:	415-602-6737

Provider Enumeration Date	:	02/26/2020
Last Update Date	:	09/24/2021

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Directions to “LITTLE PIN ACUPUNCTURE ” Practice Location

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