Healthcare Provider Details

I. General information

NPI: 1982527578
Provider Name (Legal Business Name): JOSEPH A URENO NMD
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/31/2026
Last Update Date: 07/31/2026
Certification Date: 07/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1521 N WILTON PL APT 5
HOLLYWOOD CA
90028-6723
US

IV. Provider business mailing address

1521 N WILTON PL APT 5
HOLLYWOOD CA
90028-6723
US

V. Phone/Fax

Practice location:
  • Phone: 510-220-4530
  • Fax:
Mailing address:
  • Phone: 510-220-4530
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND1356
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: