MEDICARE: JULIA URCIS 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	18932	CA

General Provider Information

NPI Number	:	1366033037
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIA URCIS L.AC.

Provider Business Mailing Address
First Line	:	11262 MOONEY FLAT RD
Second Line	:
City	:	SMARTSVILLE
State	:	CA
Zip	:	95977-9522
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	101 PROVIDENCE MINE RD STE 103B
Second Line	:
City	:	NEVADA CITY
State	:	CA
Zip	:	95959-2937
Country	:	US
Telephone Number	:	530-362-8743
Fax Number	:

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

Provider Enumeration Date	:	01/26/2021
Last Update Date	:	01/26/2021

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