MEDICARE: SYRS FALKAN 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	9243	CA

General Provider Information

NPI Number	:	1881948776
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SYRS FALKAN L.AC

Provider Business Mailing Address
First Line	:	801 MAGNOLIA AVE
Second Line	:
City	:	LARKSPUR
State	:	CA
Zip	:	94939-1132
Country	:	US
Telephone Number	:	415-927-2787
Fax Number	:

Provider Business Practice Location Address
First Line	:	1640 TIBURON BLVD
Second Line	:
City	:	BELVEDERE TIBURON
State	:	CA
Zip	:	94920-2515
Country	:	US
Telephone Number	:	415-435-7420
Fax Number	:

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

Provider Enumeration Date	:	10/31/2012
Last Update Date	:	10/31/2012

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