MEDICARE: GD ACUPUNCTURE CORP

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	AC11957	CA

General Provider Information

NPI Number	:	1558708818
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GD ACUPUNCTURE CORP

Provider Business Mailing Address
First Line	:	9670 LAS TUNAS DRIVE
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780
Country	:	US
Telephone Number	:	626-286-1377
Fax Number	:	626-286-1377

Provider Business Practice Location Address
First Line	:	9670 LAS TUNAS DR
Second Line	:
City	:	TEMPLE CITY
State	:	CA
Zip	:	91780-2139
Country	:	US
Telephone Number	:	626-286-1377
Fax Number	:	626-286-1377

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	KATHY TRUONG
Credential	:
Telephone Number	:	626-286-1377

Provider Enumeration Date	:	05/28/2013
Last Update Date	:	05/28/2013

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Directions to “GD ACUPUNCTURE CORP ” Practice Location

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