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NPI Code Detail

MEDICARE: MS. ANNA G. HURTADO L.AC.

MEDICARE:  MS. ANNA G. HURTADO  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
1171100000XAcupuncturistAC9933CA

General Provider Information

NPI Number : 1942321906
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. ANNA G. HURTADO L.AC.
Provider Business Mailing Address
First Line : 1958 2ND AVE APT 106
Second Line :
City : SAN DIEGO
State : CA
Zip : 92101-8307
Country : US
Telephone Number : 619-701-5226
Fax Number :
Provider Business Practice Location Address
First Line : 4305 GESNER ST
Second Line : # 101
City : SAN DIEGO
State : CA
Zip : 92117-6639
Country : US
Telephone Number : 619-701-5226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/03/2007
Last Update Date : 07/08/2007

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Directions to “ MS. ANNA G. HURTADO L.AC.” Practice Location

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