Healthcare Provider Details

I. General information

NPI: 1255972725
Provider Name (Legal Business Name): LINDA A ARNHEITER LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: MS. LINDA ARNHEITER

II. Dates (important events)

Enumeration Date: 10/04/2019
Last Update Date: 10/04/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

28348 ROADSIDE DR STE 104E
AGOURA HILLS CA
91301-2595
US

IV. Provider business mailing address

223 WINDTREE AVE
THOUSAND OAKS CA
91320-4131
US

V. Phone/Fax

Practice location:
  • Phone: 818-438-3738
  • Fax: 805-480-0024
Mailing address:
  • Phone: 818-438-3738
  • Fax: 805-480-0024

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number18630
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: