Provider Demographics
NPI:1568271930
Name:SCOTT-MERRICK, SIGMA (LICENSED ACUPUNCTURE)
Entity type:Individual
Prefix:MRS
First Name:SIGMA
Middle Name:
Last Name:SCOTT-MERRICK
Suffix:
Gender:F
Credentials:LICENSED ACUPUNCTURE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:851 N HOLLYWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:BURBANK
Mailing Address - State:CA
Mailing Address - Zip Code:91505-2814
Mailing Address - Country:US
Mailing Address - Phone:626-531-0828
Mailing Address - Fax:
Practice Address - Street 1:851 N HOLLYWOOD WAY
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91505-2814
Practice Address - Country:US
Practice Address - Phone:626-531-0828
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-31
Last Update Date:2024-12-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20156171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist