MEDICARE: DR. TODD L. GIBSON DAOM, 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	AC6110	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	AC6110	OTHER	CA	LICENSED ACUPUNCTURIST

General Provider Information

NPI Number	:	1740322684
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. TODD L. GIBSON DAOM, L.AC.

Provider Business Mailing Address
First Line	:	5577 N FIGUEROA ST
Second Line	:
City	:	HIGHLAND PARK
State	:	CA
Zip	:	90042-4119
Country	:	US
Telephone Number	:	323-868-7338
Fax Number	:

Provider Business Practice Location Address
First Line	:	5577 N FIGUEROA ST
Second Line	:
City	:	HIGHLAND PARK
State	:	CA
Zip	:	90042-4119
Country	:	US
Telephone Number	:	323-868-7338
Fax Number	:

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

Provider Enumeration Date	:	02/13/2007
Last Update Date	:	10/26/2011

Similar Medicare Providers

1962680363 — DR. MARK GLAZER M.D.
Practice Location Address:

1110 SHERIDAN RD
HIGHLAND PARK, IL
60035-4119

Practice Phone: 847-217-8122
Practice Fax: 847-433-6341

1295145647 — BRITTANY SHAW
Practice Location Address:

4119 HIGHLAND AVE , UNIT 6
SAN DIEGO, CA
92105-1764

Practice Phone: 918-606-7313
Practice Fax:

1982010732 — OPTIMUM HEALTH REHAB OF HIRAM LLC
Practice Location Address:

47 HIGHLAND PAVILION CT STE 102
HIRAM, GA
30141-4119

Practice Phone: 770-439-6997
Practice Fax: 770-439-0997

1699225094 — INTEGRATED HEALTHCARE CENTER OF HIRAM LLC
Practice Location Address:

47 HIGHLAND PAVILION CT
HIRAM, GA
30141-4119

Practice Phone: 770-439-6997
Practice Fax:

1124027677 — AMBERWOOD CONVALESCENT HOSPITAL INC
Practice Location Address:

6071 YORK BLVD
HIGHLAND PARK, CA
90042-3503

Practice Phone: 323-254-3407
Practice Fax: 323-254-7580

1003920067 — PAV CHINCHILLA D.C.
Practice Location Address:

6456 YORK BLVD
HIGHLAND PARK, CA
90042-3642

Practice Phone: 800-775-7787
Practice Fax:

Directions to “ DR. TODD L. GIBSON DAOM, L.AC.” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.