MEDICARE: HEATHER SHIELDS 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	AC14426	CA

General Provider Information

NPI Number	:	1427333699
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEATHER SHIELDS L.AC.

Provider Business Mailing Address
First Line	:	4444 GEARY BLVD
Second Line	:	SUITE 304
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-3048
Country	:	US
Telephone Number	:	415-683-5622
Fax Number	:

Provider Business Practice Location Address
First Line	:	4444 GEARY BLVD
Second Line	:	SUITE 304
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94118-3048
Country	:	US
Telephone Number	:	415-683-5622
Fax Number	:

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

Provider Enumeration Date	:	10/19/2011
Last Update Date	:	02/11/2022

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Directions to “ HEATHER SHIELDS L.AC.” Practice Location

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