MEDICARE: ALICIA HILL LAC

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	AC13197	CA

General Provider Information

NPI Number	:	1326346230
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALICIA HILL LAC

Provider Business Mailing Address
First Line	:	308 ANDERSON ST
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-6612
Country	:	US
Telephone Number	:	310-372-7585
Fax Number	:

Provider Business Practice Location Address
First Line	:	308 ANDERSON ST
Second Line	:
City	:	MANHATTAN BEACH
State	:	CA
Zip	:	90266-6612
Country	:	US
Telephone Number	:	310-372-7585
Fax Number	:

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

Provider Enumeration Date	:	03/02/2011
Last Update Date	:	03/02/2011

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