MEDICARE: YVETTE CONTRERAS

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	16208	CA

General Provider Information

NPI Number	:	1962806018
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	YVETTE CONTRERAS

Provider Business Mailing Address
First Line	:	14135 FRANCISQUITO AVE
Second Line	:	209
City	:	BALDWIN PARK
State	:	CA
Zip	:	91706-6107
Country	:	US
Telephone Number	:	626-337-4000
Fax Number	:	626-956-0671

Provider Business Practice Location Address
First Line	:	14135 FRANCISQUITO AVE
Second Line	:	209
City	:	BALDWIN PARK
State	:	CA
Zip	:	91706-6107
Country	:	US
Telephone Number	:	626-337-4000
Fax Number	:	626-956-0671

Authorized Official
Title or Position	:	ACUPUNCTURIST
Name	:	YVETTE CONTRERAS
Credential	:	LAC
Telephone Number	:	626-337-4000

Provider Enumeration Date	:	10/17/2014
Last Update Date	:	10/17/2014

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