MEDICARE: TALINA HERMANN DACM, LAC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist	19784	CA

General Provider Information

NPI Number	:	1275306862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TALINA HERMANN DACM, LAC

Provider Business Mailing Address
First Line	:	1482 E VALLEY RD # 775
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-1200
Country	:	US
Telephone Number	:	310-804-9160
Fax Number	:

Provider Business Practice Location Address
First Line	:	1483 E VALLEY RD # STUDIO19
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-1248
Country	:	US
Telephone Number	:	310-804-9160
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/06/2023
Last Update Date	:	11/06/2023

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