Healthcare Provider Details

I. General information

NPI: 1083452106
Provider Name (Legal Business Name): DEBBIE LAW ACUPUNCTURIST
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2024
Last Update Date: 07/15/2024
Certification Date: 07/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20607 AMAR RD STE 2
WALNUT CA
91789-5049
US

IV. Provider business mailing address

20607 AMAR RD STE 2
WALNUT CA
91789-5049
US

V. Phone/Fax

Practice location:
  • Phone: 714-360-5168
  • Fax:
Mailing address:
  • Phone: 714-360-5168
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC10701
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: