Healthcare Provider Details

I. General information

NPI: 1962882837
Provider Name (Legal Business Name): DUNE CITI INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2015
Last Update Date: 06/04/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9943 CANOGA AVE
CHATSWORTH CA
91311-3002
US

IV. Provider business mailing address

9943 CANOGA AVE
CHATSWORTH CA
91311-3002
US

V. Phone/Fax

Practice location:
  • Phone: 818-773-0800
  • Fax:
Mailing address:
  • Phone: 818-773-0800
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 16632
License Number StateCA

VIII. Authorized Official

Name: MEL BRITT
Title or Position: MANAGER
Credential:
Phone: 818-773-0800