MEDICARE: CAPITAL CENTER FOR ACUPUNCTURE & INTEGRATIVE MEDICINE, LLC

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

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	1174826432	OTHER		TYPE 1 INDIVIDUAL NPI
2	1821632225	OTHER		TYPE 2 ORGANIZATION NPI
3	U01837	OTHER	MD	MARYLAND STATE LICENSE REGISTRATION NUMBER

General Provider Information

NPI Number	:	1821632225
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CAPITAL CENTER FOR ACUPUNCTURE & INTEGRATIVE MEDICINE, LLC

Provider Business Mailing Address
First Line	:	10215 FERNWOOD RD STE 600
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1184
Country	:	US
Telephone Number	:	301-880-3232
Fax Number	:	301-530-2200

Provider Business Practice Location Address
First Line	:	10215 FERNWOOD RD STE 600
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-1184
Country	:	US
Telephone Number	:	301-880-3232
Fax Number	:	301-530-2200

Authorized Official
Title or Position	:	OFFICE MANAGER
Name	:	PETER TUNG
Credential	:
Telephone Number	:	301-880-3232

Provider Enumeration Date	:	10/30/2019
Last Update Date	:	02/02/2026

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Directions to “CAPITAL CENTER FOR ACUPUNCTURE & INTEGRATIVE MEDICINE, LLC ” Practice Location

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