MEDICARE: HATICE POROY L.AC, M.D

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	AC9978	CA

General Provider Information

NPI Number	:	1578644688
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HATICE POROY L.AC, M.D

Provider Business Mailing Address
First Line	:	2024 ESSENAY AVE
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94597-2432
Country	:	US
Telephone Number	:	510-333-3142
Fax Number	:

Provider Business Practice Location Address
First Line	:	1808 SAN MIGUEL DR
Second Line	:
City	:	WALNUT CREEK
State	:	CA
Zip	:	94596-8606
Country	:	US
Telephone Number	:	510-333-3142
Fax Number	:

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

Provider Enumeration Date	:	10/17/2006
Last Update Date	:	07/08/2007

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