MEDICARE: MS. VALERIE ANNE BROWN 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	11716	CA

General Provider Information

NPI Number	:	1659528164
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. VALERIE ANNE BROWN L.AC.

Provider Business Mailing Address
First Line	:	3819 VALLEYBRINK RD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1458
Country	:	US
Telephone Number	:	323-497-6994
Fax Number	:

Provider Business Practice Location Address
First Line	:	3367 GLENDALE BLVD
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90039-1825
Country	:	US
Telephone Number	:	323-497-6994
Fax Number	:

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

Provider Enumeration Date	:	08/26/2008
Last Update Date	:	08/28/2008

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