MEDICARE: RUIQUAN LI ACUPUNCTURE

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	AC6265	CA

General Provider Information

NPI Number	:	1821303041
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RUIQUAN LI ACUPUNCTURE

Provider Business Mailing Address
First Line	:	18700 MAIN ST STE 205
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1714
Country	:	US
Telephone Number	:	714-847-6186
Fax Number	:	714-847-6186

Provider Business Practice Location Address
First Line	:	18700 MAIN ST STE 205
Second Line	:
City	:	HUNTINGTON BEACH
State	:	CA
Zip	:	92648-1714
Country	:	US
Telephone Number	:	714-847-6186
Fax Number	:	714-847-6186

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

Provider Enumeration Date	:	08/12/2010
Last Update Date	:	02/21/2018

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Directions to “ RUIQUAN LI ACUPUNCTURE” Practice Location

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