MEDICARE: KARIN ENZ

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	AC19208	CA

General Provider Information

NPI Number	:	1609513597
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARIN ENZ

Provider Business Mailing Address
First Line	:	136 16TH ST APT C
Second Line	:
City	:	PACIFIC GROVE
State	:	CA
Zip	:	93950-2638
Country	:	US
Telephone Number	:	831-453-0865
Fax Number	:

Provider Business Practice Location Address
First Line	:	222 17TH ST
Second Line	:
City	:	PACIFIC GROVE
State	:	CA
Zip	:	93950-3325
Country	:	US
Telephone Number	:	831-453-0865
Fax Number	:

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

Provider Enumeration Date	:	05/12/2022
Last Update Date	:	05/12/2022

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Directions to “ KARIN ENZ ” Practice Location

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