Healthcare Provider Details
I. General information
NPI: 1720610629
Provider Name (Legal Business Name): A&B HEALTHCARE SOLUTIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 02/08/2020
Last Update Date: 02/08/2021
Certification Date: 02/08/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
438 S MURPHY AVE
SUNNYVALE CA
94086-6114
US
IV. Provider business mailing address
438 S MURPHY AVE
SUNNYVALE CA
94086-6114
US
V. Phone/Fax
- Phone: 408-800-3319
- Fax: 408-413-1084
- Phone: 408-800-3319
- Fax: 408-413-1084
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083B0002X |
| Taxonomy | Obesity Medicine (Preventive Medicine) Physician |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | N |
| Taxonomy Code | 2083P0901X |
| Taxonomy | Public Health & General Preventive Medicine Physician |
| License Number | |
| License Number State | |
| # 5 | |
| Primary Taxonomy | N |
| Taxonomy Code | 405300000X |
| Taxonomy | Prevention Professional |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
ARLENE
TICOULET
Title or Position: LMFT
Credential: MFT
Phone: 408-800-3319