Healthcare Provider Details

I. General information

NPI: 1669776399
Provider Name (Legal Business Name): CHRISTINA BRANDT AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/10/2011
Last Update Date: 01/10/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1650 OVERLOOK LN
SANTA BARBARA CA
93103-2822
US

IV. Provider business mailing address

1650 OVERLOOK LN
SANTA BARBARA CA
93103-2822
US

V. Phone/Fax

Practice location:
  • Phone: 805-455-9319
  • Fax: 805-966-6007
Mailing address:
  • Phone: 805-455-9319
  • Fax: 805-966-6007

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number7712
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: