Healthcare Provider Details

I. General information

NPI: 1518292812
Provider Name (Legal Business Name): CLAUDIA MARIANNE LAUFER L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/05/2009
Last Update Date: 07/09/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6404 WILSHIRE BLVD SUITE 701
LOS ANGELES CA
90048-5501
US

IV. Provider business mailing address

4601 BEETHOVEN ST
LOS ANGELES CA
90066-6519
US

V. Phone/Fax

Practice location:
  • Phone: 323-852-9704
  • Fax:
Mailing address:
  • Phone: 310-980-5767
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC13630
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code133NN1002X
TaxonomyNutrition Education Nutritionist
License NumberAC13630
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: