MEDICARE: MONICA BLOCH KADERALI 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	AC 10244	CA

General Provider Information

NPI Number	:	1790855609
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA BLOCH KADERALI L.AC.

Provider Business Mailing Address
First Line	:	775 CALABRIA DR
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93105-4536
Country	:	US
Telephone Number	:	805-708-2791
Fax Number	:

Provider Business Practice Location Address
First Line	:	5266 HOLLISTER AVE
Second Line	:	BUILDING B, SUITE 209
City	:	SANTA BARBARA
State	:	CA
Zip	:	93111-2037
Country	:	US
Telephone Number	:	805-708-2791
Fax Number	:

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

Provider Enumeration Date	:	11/08/2006
Last Update Date	:	12/18/2013

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