MEDICARE: WENLIN REN

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	7646	CA

General Provider Information

NPI Number	:	1942524392
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	WENLIN REN

Provider Business Mailing Address
First Line	:	9942 LAKEWOOD BLVD
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90240-4009
Country	:	US
Telephone Number	:	562-861-6684
Fax Number	:	562-861-0241

Provider Business Practice Location Address
First Line	:	9942 LAKEWOOD BLVD
Second Line	:
City	:	DOWNEY
State	:	CA
Zip	:	90240-4009
Country	:	US
Telephone Number	:	562-861-6684
Fax Number	:	562-861-0241

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

Provider Enumeration Date	:	03/15/2010
Last Update Date	:	03/15/2010

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Directions to “ WENLIN REN ” Practice Location

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