MEDICARE: CALLIE SWIGER 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	AC16190	CA

General Provider Information

NPI Number	:	1881123065
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CALLIE SWIGER L.AC.

Provider Business Mailing Address
First Line	:	2123 RODNEY DR APT 207
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-2092
Country	:	US
Telephone Number	:	339-221-1309
Fax Number	:

Provider Business Practice Location Address
First Line	:	2123 RODNEY DR APT 207
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90027-2092
Country	:	US
Telephone Number	:	339-221-1309
Fax Number	:

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

Provider Enumeration Date	:	06/09/2017
Last Update Date	:	07/21/2022

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Directions to “ CALLIE SWIGER L.AC.” Practice Location

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