Individual ProviderLydia Oh AuAcupuncturistOther Service ProvidersPractice Address202 Fashion Ln Ste 116, Tustin, CA 92780-3319(714) 798-4325(714) 900-3736PECOS EnrollmentBased on the most recent information from CMS, provider Lydia Oh Au does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 4 days ago.Profile DetailsProvider ID1396062493Provider TypeIndividualFull NameAu, Lydia OhTitleMissCredentialL.ACGenderFemaleSole ProprietorYesEnumeration Date4/28/2010Last Updated12/9/2020Contact InformationPractice LocationPractice Address202 Fashion Ln Ste 116, Tustin, CA 92780-3319Phone(714) 798-4325FaxUnlisted FaxMailing LocationMailing Address8011 Ebbtide Cir, Huntington Beach, CA 92646-5005Phone(714) 900-3736FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode171100000XPrimaryDescriptionAcupuncturistOther Service ProvidersLicenseAC 13500California