Healthcare Provider Details

I. General information

NPI: 1447726732
Provider Name (Legal Business Name): SARA KELA NATUROPATHIC DOCTOR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/15/2018
Last Update Date: 10/15/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8408 CHEROKEE DR
DOWNEY CA
90241-2613
US

IV. Provider business mailing address

8408 CHEROKEE DR
DOWNEY CA
90241-2613
US

V. Phone/Fax

Practice location:
  • Phone: 562-708-0355
  • Fax:
Mailing address:
  • Phone: 562-708-0355
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1028
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: