Healthcare Provider Details
I. General information
NPI: 1962917609
Provider Name (Legal Business Name): LEHUA NATUROPATHIC MEDICINE INC.
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 12/04/2017
Last Update Date: 12/04/2017
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1110 CRENSHAW BLVD
TORRANCE CA
90501
US
IV. Provider business mailing address
1110 CRENSHAW BLVD
TORRANCE CA
90501
US
V. Phone/Fax
- Phone: 714-913-7909
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 171100000X |
| Taxonomy | Acupuncturist |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 175F00000X |
| Taxonomy | Naturopath |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
NICOLE
FUJIYAMA
Title or Position: OWNER
Credential: ND, LAC
Phone: 714-913-7909