MEDICARE: DR. MAN-LING LAI L.AC., DACM

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 4288	CA

General Provider Information

NPI Number	:	1295750537
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MAN-LING LAI L.AC., DACM

Provider Business Mailing Address
First Line	:	12841 LUNADA PL
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-1114
Country	:	US
Telephone Number	:	858-451-1571
Fax Number	:

Provider Business Practice Location Address
First Line	:	11939 RANCHO BERNARDO RD STE 105
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92128-2073
Country	:	US
Telephone Number	:	619-786-7579
Fax Number	:	619-752-2220

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

Provider Enumeration Date	:	07/13/2006
Last Update Date	:	07/21/2022

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