MEDICARE: PINE TREE ACUPUNCTURE, 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	171100000X	Acupuncturist	AC15740	CA

General Provider Information

NPI Number	:	1447613013
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PINE TREE ACUPUNCTURE, INC.

Provider Business Mailing Address
First Line	:	16000 VILLA YORBA
Second Line	:	APT 615
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92647-3902
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6286 BEACH BLVD
Second Line	:
City	:	BUENA PARK
State	:	CA
Zip	:	90621-2351
Country	:	US
Telephone Number	:	714-333-8363
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	SUN MI PARK
Credential	:
Telephone Number	:	714-333-8363

Provider Enumeration Date	:	03/31/2016
Last Update Date	:	03/31/2016

Similar Medicare Providers

1043493109 — ORTHOTECHNIX
Practice Location Address:

6262 BEACH BLVD
BUENA PARK, CA
90621-2351

Practice Phone: 714-523-9410
Practice Fax:

1386062743 — PAIN FREE, P.C.
Practice Location Address:

6286 BEACH BLVD
BUENA PARK, CA
90621-2351

Practice Phone: 714-736-0075
Practice Fax: 714-736-0076

1497758783 — DR. ROBERT E LEE III DDS
Practice Location Address:

106 PROFESSIONAL PARK DR
VICTORIA, TX
77904-2351

Practice Phone: 361-578-2785
Practice Fax: 361-573-1653

1679570519 — ANEW HOME HEALTH LC
Practice Location Address:

7933 FRONTAGE RD
OVERLAND PARK, KS
66204-2351

Practice Phone: 913-649-6060
Practice Fax: 913-649-6066

1184695579 — DR. JUDY ANN GALLOWAY EDD
Practice Location Address:

1155 LOUISIANA AVE , SUITE 101
WINTER PARK, FL
32789-2351

Practice Phone: 407-620-8031
Practice Fax:

1548290737 — DR. JOHN HARRY SWANNACK D.D.S.
Practice Location Address:

105 PROFESSIONAL PARK DR
VICTORIA, TX
77904-2351

Practice Phone: 361-578-5205
Practice Fax:

Directions to “PINE TREE ACUPUNCTURE, INC. ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.