Healthcare Provider Details

I. General information

NPI: 1427014125
Provider Name (Legal Business Name): JOAN-ANGELA HESS L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 04/22/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2441 HONOLULU AVE SUITE 142
MONTROSE CA
91020-1847
US

IV. Provider business mailing address

14850 HESBY ST #2
SHERMAN OAKS CA
91403-1659
US

V. Phone/Fax

Practice location:
  • Phone: 818-919-2657
  • Fax:
Mailing address:
  • Phone: 818-789-7342
  • Fax: 818-789-4365

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number10757
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: