MEDICARE: MRS. RACHAEL MURPHY 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	7348	CA

General Provider Information

NPI Number	:	1568510782
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHAEL MURPHY L.AC.

Provider Business Mailing Address
First Line	:	6331 W 78TH ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-1440
Country	:	US
Telephone Number	:	310-338-0877
Fax Number	:

Provider Business Practice Location Address
First Line	:	8701 TRUXTON AVE
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90045-3911
Country	:	US
Telephone Number	:	310-338-0877
Fax Number	:

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

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	07/08/2007

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