MEDICARE: HOLISTIC ACUPUNCTURE SANTA CRUZ CORP.

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	374J00000X	Doula
2	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1730939075
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLISTIC ACUPUNCTURE SANTA CRUZ CORP.

Provider Business Mailing Address
First Line	:	650 DAY VALLEY RD
Second Line	:
City	:	APTOS
State	:	CA
Zip	:	95003-9323
Country	:	US
Telephone Number	:	831-515-9659
Fax Number	:

Provider Business Practice Location Address
First Line	:	550 WATER ST STE K2
Second Line	:
City	:	SANTA CRUZ
State	:	CA
Zip	:	95060-4136
Country	:	US
Telephone Number	:	831-515-9659
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	LAURA CASASAYAS
Credential	:	LAC
Telephone Number	:	831-515-9659

Provider Enumeration Date	:	03/26/2024
Last Update Date	:	06/05/2025

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