Healthcare Provider Details

I. General information

NPI: 1043617715
Provider Name (Legal Business Name): REBECCA HOEHN LAC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/24/2014
Last Update Date: 08/25/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12215 VENTURA BLVD 208
STUDIO CITY CA
91604-2533
US

IV. Provider business mailing address

12400 VENTURA BLVD #684
STUDIO CITY CA
91604-2406
US

V. Phone/Fax

Practice location:
  • Phone: 323-986-5994
  • Fax:
Mailing address:
  • Phone: 323-986-5994
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC16264
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: