Genevieve Elizabeth Le Goff, L.AC.
Individual provider Active NPI Acupuncturist · Fairfax, CA
NPI 1992026025 · NPPES record last updated Jun 11, 2010
Key facts
- NPI
- 1992026025
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC 13615 (CA)
- Practice address
- 8 Bolinas Rd
Fairfax, CA 94930-1684 - Phone
- (415) 250-8508
- NPI assigned
- Jun 11, 2010
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 13615 | CA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 13615 | CA | Yes |
Addresses
Primary practice location
8 Bolinas Rd
Fairfax, CA 94930-1684
Mailing address
PO Box 62
Woodacre, CA 94973-0062
Phone (415) 250-8508
Other providers in Fairfax, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 11, 2010. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.