Healthcare Provider Details

I. General information

NPI: 1053439307
Provider Name (Legal Business Name): MARTI SINGER L.AC., DIPL. AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/26/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

183 N HILL AVE STE. 202
PASADENA CA
91106-1915
US

IV. Provider business mailing address

241 N BALDWIN AVE APT A
SIERRA MADRE CA
91024-1990
US

V. Phone/Fax

Practice location:
  • Phone: 626-795-9500
  • Fax:
Mailing address:
  • Phone: 626-355-5123
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number9118
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: