MEDICARE: RONIT ASHKENAZI 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	CA8489	CA

General Provider Information

NPI Number	:	1952462137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RONIT ASHKENAZI L.AC.

Provider Business Mailing Address
First Line	:	207 MONTOYA ST APT A
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-3032
Country	:	US
Telephone Number	:	415-450-7336
Fax Number	:

Provider Business Practice Location Address
First Line	:	207 MONTOYA ST APT A
Second Line	:
City	:	SANTA FE
State	:	NM
Zip	:	87501-3032
Country	:	US
Telephone Number	:	415-450-7336
Fax Number	:

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

Provider Enumeration Date	:	12/12/2006
Last Update Date	:	10/15/2025

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