Healthcare Provider Details

I. General information

NPI: 1912811175
Provider Name (Legal Business Name): OJAI COMMUNITY ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2026
Last Update Date: 10/02/2026
Certification Date: 10/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1203B N SIGNAL ST
OJAI CA
93023-1831
US

IV. Provider business mailing address

1203B N SIGNAL ST
OJAI CA
93023-1831
US

V. Phone/Fax

Practice location:
  • Phone: 805-826-8594
  • Fax:
Mailing address:
  • Phone: 805-826-8594
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name: VANESSA LEILANI TUCKER
Title or Position: ACUPUNCTURIST
Credential: LAC
Phone: 805-826-8594