Healthcare Provider Details

I. General information

NPI: 1356674345
Provider Name (Legal Business Name): JOSEPH TERALIS ARISON L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/09/2009
Last Update Date: 09/09/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9615 BRIGHTON WAY SUITE 320
BEVERLY HILLS CA
90210-5131
US

IV. Provider business mailing address

9615 BRIGHTON WAY SUITE 320
BEVERLY HILLS CA
90210-5131
US

V. Phone/Fax

Practice location:
  • Phone: 310-550-0380
  • Fax: 310-550-0370
Mailing address:
  • Phone: 310-550-0380
  • Fax: 310-550-0370

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 1455
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: