Healthcare Provider Details

I. General information

NPI: 1730939075
Provider Name (Legal Business Name): HOLISTIC ACUPUNCTURE SANTA CRUZ CORP.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/26/2024
Last Update Date: 06/05/2025
Certification Date: 06/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

550 WATER ST STE K2
SANTA CRUZ CA
95060-4136
US

IV. Provider business mailing address

650 DAY VALLEY RD
APTOS CA
95003-9323
US

V. Phone/Fax

Practice location:
  • Phone: 831-515-9659
  • Fax:
Mailing address:
  • Phone: 831-515-9659
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: LAURA CASASAYAS
Title or Position: PRESIDENT
Credential: LAC
Phone: 831-515-9659