Healthcare Provider Details

I. General information

NPI: 1508347303
Provider Name (Legal Business Name): TORI NEWTON L.AC., DAOM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/28/2018
Last Update Date: 08/28/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2071 E COLUMBARD DR
PALM SPRINGS CA
92264-5007
US

IV. Provider business mailing address

2071 E COLUMBARD DR
PALM SPRINGS CA
92264-5007
US

V. Phone/Fax

Practice location:
  • Phone: 805-794-2850
  • Fax:
Mailing address:
  • Phone: 805-794-2850
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC16914
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: