Healthcare Provider Details

I. General information

NPI: 1285940239
Provider Name (Legal Business Name): NATURAL SOLUTIONS ACUPUNCTURE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/27/2010
Last Update Date: 08/27/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2530 VISTA WAY SUITE H
OCEANSIDE CA
92054-6174
US

IV. Provider business mailing address

2530 VISTA WAY F108
OCEANSIDE CA
92054-6174
US

V. Phone/Fax

Practice location:
  • Phone: 760-435-9390
  • Fax: 760-435-9393
Mailing address:
  • Phone: 619-892-8611
  • Fax: 760-435-9393

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 10818
License Number StateCA

VIII. Authorized Official

Name: MR. MICHAEL DAVID WOODWORTH
Title or Position: PRESIDENT
Credential: L.AC
Phone: 619-892-8611