Healthcare Provider Details

I. General information

NPI: 1174799969
Provider Name (Legal Business Name): NATURAL HEALING & ACUPUNCTURE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/01/2008
Last Update Date: 04/14/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S BARRINGTON AVE SUITE 220
LOS ANGELES CA
90025
US

IV. Provider business mailing address

2001 S BARRINGTON AVE SUITE 220
LOS ANGELES CA
90025
US

V. Phone/Fax

Practice location:
  • Phone: 310-473-7474
  • Fax: 310-473-9767
Mailing address:
  • Phone: 310-473-7474
  • Fax: 310-473-9767

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC4831
License Number StateCA

VIII. Authorized Official

Name: DENISE SHERI WIESNER
Title or Position: PRESIDENT
Credential: L.AC.
Phone: 310-473-7474