MEDICARE: NATUROPATHIC INTEGRATIVE FAMILY HEALTHCARE, PC

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	261QH0100X	Health Service Clinic/Center	ND-301	CA
2	261QP2300X	Primary Care Clinic/Center	ND-301	CA

General Provider Information

NPI Number	:	1902032279
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NATUROPATHIC INTEGRATIVE FAMILY HEALTHCARE, PC

Provider Business Mailing Address
First Line	:	2769 W BROADWAY
Second Line	:
City	:	EAGLE ROCK
State	:	CA
Zip	:	90041-1038
Country	:	US
Telephone Number	:	818-484-5185
Fax Number	:	323-256-6446

Provider Business Practice Location Address
First Line	:	2769 W BROADWAY
Second Line	:
City	:	EAGLE ROCK
State	:	CA
Zip	:	90041-1038
Country	:	US
Telephone Number	:	818-484-5185
Fax Number	:	323-256-6446

Authorized Official
Title or Position	:	CEO-PRESIDENT
Name	:	DR. MICAELA R FINLAYSON
Credential	:	ND
Telephone Number	:	818-484-5185

Provider Enumeration Date	:	06/01/2009
Last Update Date	:	06/01/2009

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