Healthcare Provider Details
I. General information
NPI: 1144367996
Provider Name (Legal Business Name): BARBARA NORMAN BURNS L.AC., M.S.O.M.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 01/31/2007
Last Update Date: 07/26/2007
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
41 E FOOTHILL BLVD SUITE 200
ARCADIA CA
91006-2361
US
IV. Provider business mailing address
41 E FOOTHILL BLVD SUITE 200
ARCADIA CA
91006-2361
US
V. Phone/Fax
- Phone: 626-446-5900
- Fax: 626-446-5919
- Phone: 626-446-5900
- Fax: 626-446-5919
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | AC5711 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: