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NPI Code Detail

MEDICARE: ERYA MA L. AC.

MEDICARE: ERYA MA 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
1171100000XAcupuncturistAC11709CA

General Provider Information

NPI Number : 1518166800
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERYA MA L. AC.
Provider Business Mailing Address
First Line : 2020 S HACIENDA BLVD
Second Line : SUITE D
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-4265
Country : US
Telephone Number : 626-855-1158
Fax Number :
Provider Business Practice Location Address
First Line : 2020 S HACIENDA BLVD
Second Line : SUITE D
City : HACIENDA HEIGHTS
State : CA
Zip : 91745-4265
Country : US
Telephone Number : 626-855-1158
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/16/2007
Last Update Date : 07/17/2007

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