Healthcare Provider Details
I. General information
NPI: 1942983580
Provider Name (Legal Business Name): WRIGHT DOHOPOLSKI'S ACUPUNCTURE SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/10/2023
Last Update Date: 08/10/2023
Certification Date: 08/09/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
20601 CALIFORNIA HIGHWAY 202 A103
TEHACHAPI CA
93561
US
IV. Provider business mailing address
20601 CALIFORNIA HIGHWAY 202 A103
TEHACHAPI CA
93561
US
V. Phone/Fax
- Phone: 661-609-5998
- Fax:
- Phone: 661-609-5998
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
BRANDI
WRIGHT-DOHOPOLSKI
Title or Position: ACUPUNCTURIST
Credential: MAOM, LA.C
Phone: 661-609-5998