Healthcare Provider Details

I. General information

NPI: 1487707162
Provider Name (Legal Business Name): PETER MARC STERN N.D, LAC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

764 CEDAR ST
GARBERVILLE CA
95542-3222
US

IV. Provider business mailing address

764 CEDAR ST
GARBERVILLE CA
95542-3222
US

V. Phone/Fax

Practice location:
  • Phone: 707-923-3644
  • Fax: 707-923-1325
Mailing address:
  • Phone: 707-923-3644
  • Fax: 707-923-1325

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC2809
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND-46
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: