MEDICARE: DR. JENNIFER LAUREN NG DACM, MS, LAC, CES

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	19339	CA

General Provider Information

NPI Number	:	1710620638
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JENNIFER LAUREN NG DACM, MS, LAC, CES

Provider Business Mailing Address
First Line	:	945 TARAVAL ST # 309
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94116-2422
Country	:	US
Telephone Number	:	415-317-6468
Fax Number	:

Provider Business Practice Location Address
First Line	:	2355 OCEAN AVE STE 201
Second Line	:
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94127-2622
Country	:	US
Telephone Number	:	415-317-6468
Fax Number	:

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

Provider Enumeration Date	:	04/19/2022
Last Update Date	:	04/19/2022

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