MEDICARE: UNIQUE REMEDY

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

General Provider Information

NPI Number	:	1447814603
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	UNIQUE REMEDY

Provider Business Mailing Address
First Line	:	1010 SAN ANSELMO AVE S
Second Line	:
City	:	SAN BRUNO
State	:	CA
Zip	:	94066-5312
Country	:	US
Telephone Number	:	206-330-1548
Fax Number	:

Provider Business Practice Location Address
First Line	:	1098 FOSTER CITY BLVD STE 204
Second Line	:
City	:	FOSTER CITY
State	:	CA
Zip	:	94404-2345
Country	:	US
Telephone Number	:	650-667-1548
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NIRALI PATEL
Credential	:
Telephone Number	:	206-330-1548

Provider Enumeration Date	:	04/23/2019
Last Update Date	:	06/11/2019

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Directions to “UNIQUE REMEDY ” Practice Location

Language	Start Address	Practice Location

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