Provider Demographics
NPI:1447603931
Name:PLANT, SCOTT (LAC)
Entity Type:Individual
Prefix:
First Name:SCOTT
Middle Name:
Last Name:PLANT
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8118 GARVEY AVE
Mailing Address - Street 2:SUITE H
Mailing Address - City:ROSEMEAD
Mailing Address - State:CA
Mailing Address - Zip Code:91770-2471
Mailing Address - Country:US
Mailing Address - Phone:626-741-5438
Mailing Address - Fax:
Practice Address - Street 1:8118 GARVEY AVE
Practice Address - Street 2:SUITE H
Practice Address - City:ROSEMEAD
Practice Address - State:CA
Practice Address - Zip Code:91770-2471
Practice Address - Country:US
Practice Address - Phone:626-741-5438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-07-20
Last Update Date:2016-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13633171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist