Healthcare Provider Details

I. General information

NPI: 1043609241
Provider Name (Legal Business Name): SOLUTIONS HOLISTIC HEALTHCARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2015
Last Update Date: 05/22/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 S BARRINGTON AVE
WEST LOS ANGELES CA
90025-5363
US

IV. Provider business mailing address

8561 LOOKOUT MOUNTAIN AVE
LOS ANGELES CA
90046-1813
US

V. Phone/Fax

Practice location:
  • Phone: 800-397-9307
  • Fax:
Mailing address:
  • Phone: 800-397-9307
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code111N00000X
TaxonomyChiropractor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code133N00000X
TaxonomyNutritionist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC14838
License Number StateCA
# 4
Primary TaxonomyY
Taxonomy Code204D00000X
TaxonomyNeuromusculoskeletal Medicine & OMM Physician
License Number20A12344
License Number StateCA
# 5
Primary TaxonomyN
Taxonomy Code208D00000X
TaxonomyGeneral Practice Physician
License NumberG50570
License Number StateCA
# 6
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number State
# 7
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State
# 8
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number53924
License Number StateCA

VIII. Authorized Official

Name: NICOLE LENZ
Title or Position: OWNER
Credential:
Phone: 800-397-9307