MEDICARE: HOC DO

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	AC7474	CA

General Provider Information

NPI Number	:	1275520967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HOC DO

Provider Business Mailing Address
First Line	:	7138 SHOUP AVE
Second Line	:	SUITE B4
City	:	CANOGA PARK
State	:	CA
Zip	:	91307-2383
Country	:	US
Telephone Number	:	818-887-1656
Fax Number	:	818-887-1765

Provider Business Practice Location Address
First Line	:	7138 SHOUP AVE
Second Line	:	STE B4
City	:	CANOGA PARK
State	:	CA
Zip	:	91307-2383
Country	:	US
Telephone Number	:	818-887-1656
Fax Number	:	818-887-1765

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

Provider Enumeration Date	:	09/29/2005
Last Update Date	:	01/07/2009

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Directions to “ HOC DO ” Practice Location

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