Healthcare Provider Details

I. General information

NPI: 1073631719
Provider Name (Legal Business Name): JUDY NEALL EPSTEIN N.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUDY NEALL N.D.

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 05/04/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

47875 CALEO BAY DR
LA QUINTA CA
92253-6386
US

IV. Provider business mailing address

79525 CETRINO
LA QUINTA CA
92253-6587
US

V. Phone/Fax

Practice location:
  • Phone: 760-771-2332
  • Fax:
Mailing address:
  • Phone: 503-329-5538
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number1119
License Number StateOR
# 2
Primary TaxonomyY
Taxonomy Code175F00000X
TaxonomyNaturopath
License NumberND957
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: