MEDICARE: MR. HUGH GRAHAM MORISON 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	AC7229	CA

General Provider Information

NPI Number	:	1508923228
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. HUGH GRAHAM MORISON L. AC.

Provider Business Mailing Address
First Line	:	8914 MENLO AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90044-4818
Country	:	US
Telephone Number	:	213-220-2936
Fax Number	:	323-752-7065

Provider Business Practice Location Address
First Line	:	3756 SANTA ROSALIA DR STE 211
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90008-3619
Country	:	US
Telephone Number	:	323-295-5965
Fax Number	:	213-805-5212

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

Provider Enumeration Date	:	01/02/2007
Last Update Date	:	09/27/2018

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