Healthcare Provider Details

I. General information

NPI: 1891023487
Provider Name (Legal Business Name): KRISTI OSHIRO L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/19/2009
Last Update Date: 10/05/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 GREENWICH ST
SAN FRANCISCO CA
94123-3306
US

IV. Provider business mailing address

2400 GREENWICH ST
SAN FRANCISCO CA
94123-3306
US

V. Phone/Fax

Practice location:
  • Phone: 415-440-4494
  • Fax:
Mailing address:
  • Phone: 415-440-4494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number13266
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: