Healthcare Provider Details

I. General information

NPI: 1891336541
Provider Name (Legal Business Name): PRANA HANDS NONPROFIT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/03/2019
Last Update Date: 10/03/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2180 GARNET AVE STE 3L
SAN DIEGO CA
92109-3676
US

IV. Provider business mailing address

2180 GARNET AVE STE 3L
SAN DIEGO CA
92109-3676
US

V. Phone/Fax

Practice location:
  • Phone: 619-822-4291
  • Fax:
Mailing address:
  • Phone: 619-822-4291
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171000000X
TaxonomyMilitary Health Care Provider
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: GABRIELA PALMA-CRUZ
Title or Position: FOUNDER
Credential:
Phone: 619-822-4291