MEDICARE: MR. RAYMOND F MULLER 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	AC3102	CA

General Provider Information

NPI Number	:	1922066372
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. RAYMOND F MULLER L.AC.

Provider Business Mailing Address
First Line	:	1301 BROADWAY
Second Line	:	SUITE 5
City	:	MILLBRAE
State	:	CA
Zip	:	94030-1336
Country	:	US
Telephone Number	:	650-872-2287
Fax Number	:	650-872-2286

Provider Business Practice Location Address
First Line	:	1301 BROADWAY
Second Line	:	SUITE 5
City	:	MILLBRAE
State	:	CA
Zip	:	94030-1336
Country	:	US
Telephone Number	:	650-872-2287
Fax Number	:	650-872-2286

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

Provider Enumeration Date	:	05/03/2006
Last Update Date	:	07/08/2007

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