MEDICARE: MS. JOSEPHINE F SALMAN 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	13321	CA

General Provider Information

NPI Number	:	1275864621
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JOSEPHINE F SALMAN L.AC

Provider Business Mailing Address
First Line	:	2256 ALBATROSS ST
Second Line	:	UNIT 3
City	:	SAN DIEGO
State	:	CA
Zip	:	92101-1843
Country	:	US
Telephone Number	:	858-565-6292
Fax Number	:

Provider Business Practice Location Address
First Line	:	4428 INGRAHAM ST
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-4404
Country	:	US
Telephone Number	:	858-565-6292
Fax Number	:	619-550-1664

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

Provider Enumeration Date	:	01/25/2010
Last Update Date	:	03/27/2012

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