MEDICARE: HELEN HONG HU. OMD. L.AC. PC.

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	CA 9141	CA

General Provider Information

NPI Number	:	1902876576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HELEN HONG HU. OMD. L.AC. PC.

Provider Business Mailing Address
First Line	:	1267 ROSECRANS STREET.
Second Line	:	SUITE C
City	:	SAN DIEGO
State	:	CA
Zip	:	92106
Country	:	US
Telephone Number	:	619-226-6506
Fax Number	:	619-756-7692

Provider Business Practice Location Address
First Line	:	1267 ROSECRANS STREET.
Second Line	:	SUITE C
City	:	SAN DIEGO
State	:	CA
Zip	:	92106
Country	:	US
Telephone Number	:	619-226-6506
Fax Number	:	619-756-7692

Authorized Official
Title or Position	:	OWNER/PRESIDENT
Name	:	MS. HELEN HONG HU
Credential	:	DMD L.AC. MEDICAL DE
Telephone Number	:	619-226-6506

Provider Enumeration Date	:	01/25/2006
Last Update Date	:	08/12/2008

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