Healthcare Provider Details

I. General information

NPI: 1255760856
Provider Name (Legal Business Name): OONA HULL LAC, MS, CMT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/04/2013
Last Update Date: 11/04/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26350 CARMEL RANCHO LN STE 200
CARMEL CA
93923-8797
US

IV. Provider business mailing address

26350 CARMEL RANCHO LN STE 200
CARMEL CA
93923-8797
US

V. Phone/Fax

Practice location:
  • Phone: 831-624-3076
  • Fax:
Mailing address:
  • Phone: 831-624-3076
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC9367
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: