Mira Nam, LAC is a
Acupuncturist based in Colton, California. Mira Nam is licensed to practice in California (license number 14585) and her current practice location is
556 W Valley Blvd, Colton, California. She can be reached at her office (for appointments etc.) via phone at
(909) 824-1234.
NPI number for Mira Nam is 1578836870 and her current mailing address is 556 W Valley Blvd, Colton, California. She
does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1578836870.
Healthcare Provider's Profile
Full Name | Mira Nam |
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Gender | Female |
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Speciality | Acupuncturist |
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Location | 556 W Valley Blvd, Colton, California |
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Accepts Medicare Assignments | Does not participate in Medicare Program. She may not accept medicare assignment. |
NPI Data:
- NPI Number: 1578836870
- Provider Enumeration Date: 02/16/2012
- Last Update Date: 02/17/2012
Medical Identifiers
Medical identifiers for Mira Nam such as npi, medicare ID, medicare PIN, medicaid, etc.
Identifier | Type | State | Issuer |
1578836870 | NPI | - | NPPES |
Medical Taxonomies and Licenses
Taxonomy | Type | License (State) | Status |
171100000X | Acupuncturist | 14585 (California) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mira Nam is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
Mailing Address | Practice Location Address |
Mira Nam, LAC 556 W Valley Blvd, Colton, CA 92324-2249 Ph: (909) 824-1234 | Mira Nam, LAC 556 W Valley Blvd, Colton, CA 92324-2249 Ph: (909) 824-1234 |
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