Healthcare Provider Details

I. General information

NPI: 1942420344
Provider Name (Legal Business Name): SAUREET HAYILL L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1440 REXFORD DR 302
LOS ANGELES CA
90035-3150
US

IV. Provider business mailing address

1440 REXFORD DR 302
LOS ANGELES CA
90035-3150
US

V. Phone/Fax

Practice location:
  • Phone: 310-553-2359
  • Fax: 310-553-2359
Mailing address:
  • Phone: 310-553-2359
  • Fax: 310-553-2359

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC4800
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: