MEDICARE: MRS. YU MEI TANG ACUPUNCTURIST

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	AC 10196	CA

General Provider Information

NPI Number	:	1760574016
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. YU MEI TANG ACUPUNCTURIST

Provider Business Mailing Address
First Line	:	2027 PARADISE RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2513
Country	:	US
Telephone Number	:	702-735-7013
Fax Number	:

Provider Business Practice Location Address
First Line	:	2027 PARADISE RD
Second Line	:
City	:	LAS VEGAS
State	:	NV
Zip	:	89104-2513
Country	:	US
Telephone Number	:	702-735-7013
Fax Number	:

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

Provider Enumeration Date	:	09/28/2006
Last Update Date	:	07/08/2007

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