Healthcare Provider Details
I. General information
NPI: 1306373360
Provider Name (Legal Business Name): ANJALI BARVE ND
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 05/20/2017
Last Update Date: 05/20/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1122 W BURBANK BLVD
BURBANK CA
91506-1414
US
IV. Provider business mailing address
5120 RIVERTON AVE
NORTH HOLLYWOOD CA
91601-3941
US
V. Phone/Fax
- Phone: 818-736-9889
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | ND896 |
| License Number State | CA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: