MEDICARE: NATURAL-BIO CARE, INC

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	261Q00000X	Clinic/Center	5297	CA

General Provider Information

NPI Number	:	1295153211
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATURAL-BIO CARE, INC

Provider Business Mailing Address
First Line	:	2717 W OLYMPIC BLVD STE 202
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2642
Country	:	US
Telephone Number	:	213-388-7675
Fax Number	:

Provider Business Practice Location Address
First Line	:	2717 W OLYMPIC BLVD STE 202
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90006-2642
Country	:	US
Telephone Number	:	213-388-7675
Fax Number	:

Authorized Official
Title or Position	:	ACUPUNTURIST
Name	:	MR. JOON KYUNG LEE
Credential	:
Telephone Number	:	213-388-7675

Provider Enumeration Date	:	04/07/2014
Last Update Date	:	04/07/2014

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