MEDICARE: LUZONITA V REEVES

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		CA
2	172M00000X	Mechanotherapist		CA

General Provider Information

NPI Number	:	1568773612
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	LUZONITA V REEVES

Provider Business Mailing Address
First Line	:	909 E 8TH ST
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2541
Country	:	US
Telephone Number	:	619-477-8802
Fax Number	:	619-477-8804

Provider Business Practice Location Address
First Line	:	909 E 8TH ST
Second Line	:
City	:	NATIONAL CITY
State	:	CA
Zip	:	91950-2541
Country	:	US
Telephone Number	:	619-477-8802
Fax Number	:	619-477-8804

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

Provider Enumeration Date	:	06/23/2010
Last Update Date	:	06/23/2010

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Directions to “ LUZONITA V REEVES ” Practice Location

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