MEDICARE: AMY MALOON

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	16820	CA

General Provider Information

NPI Number	:	1952851149
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	AMY MALOON

Provider Business Mailing Address
First Line	:	810 GONZALEZ DR
Second Line	:	7F
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94132-2274
Country	:	US
Telephone Number	:	415-570-2891
Fax Number	:

Provider Business Practice Location Address
First Line	:	810 GONZALEZ DR
Second Line	:	7F
City	:	SAN FRANCISCO
State	:	CA
Zip	:	94132-2274
Country	:	US
Telephone Number	:	415-570-2891
Fax Number	:

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

Provider Enumeration Date	:	10/11/2016
Last Update Date	:	10/11/2016

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Directions to “ AMY MALOON ” Practice Location

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