MEDICARE: ARKADIY GALPERIN L.A.C

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	AC 9285	CA

General Provider Information

NPI Number	:	1265658819
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARKADIY GALPERIN L.A.C

Provider Business Mailing Address
First Line	:	655 S FLOWER ST
Second Line	:	368
City	:	LOS ANGELES
State	:	CA
Zip	:	90017-2805
Country	:	US
Telephone Number	:	213-430-9180
Fax Number	:	213-430-9193

Provider Business Practice Location Address
First Line	:	5301 WHITTIER BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90022-4038
Country	:	US
Telephone Number	:	213-430-9180
Fax Number	:	213-430-9193

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

Provider Enumeration Date	:	04/18/2007
Last Update Date	:	07/08/2007

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