Healthcare Provider Details

I. General information

NPI: 1972032589
Provider Name (Legal Business Name): BREATHE HOLISTIC HEALTH, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/07/2017
Last Update Date: 06/07/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

900 N SAN ANTONIO RD
LOS ALTOS CA
94022-1373
US

IV. Provider business mailing address

1288 ALBION LN
SUNNYVALE CA
94087-3827
US

V. Phone/Fax

Practice location:
  • Phone: 408-464-5545
  • Fax:
Mailing address:
  • Phone: 408-464-5545
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code175F00000X
TaxonomyNaturopath
License Number
License Number State

VIII. Authorized Official

Name: LIAT HOD
Title or Position: CEO
Credential: L.AC
Phone: 408-464-5545