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NPI Code Detail

MEDICARE: MISS LINDA GROSS L.AC.

MEDICARE:  MISS LINDA  GROSS  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
1171100000XAcupuncturistAC9878CA

General Provider Information

NPI Number : 1942480033
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS LINDA GROSS L.AC.
Provider Business Mailing Address
First Line : 20969 VENTURA BLVD
Second Line : SUITE 214
City : WOODLAND HILLS
State : CA
Zip : 91364-2305
Country : US
Telephone Number : 818-943-3647
Fax Number : 818-344-1570
Provider Business Practice Location Address
First Line : 20969 VENTURA BLVD
Second Line : SUITE 214
City : WOODLAND HILLS
State : CA
Zip : 91364-2305
Country : US
Telephone Number : 818-943-3647
Fax Number : 818-344-1570
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/06/2007
Last Update Date : 10/29/2008

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Directions to “ MISS LINDA GROSS L.AC.” Practice Location

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