Healthcare Provider Details

I. General information

NPI: 1588144653
Provider Name (Legal Business Name): NATALIE GRIGORIAN L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/18/2018
Last Update Date: 06/11/2026
Certification Date: 06/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5217 WISCONSIN AVE NW STE 205
WASHINGTON DC
20015-2075
US

IV. Provider business mailing address

5217 WISCONSIN AVE NW STE 205
WASHINGTON DC
20015-2075
US

V. Phone/Fax

Practice location:
  • Phone: 202-656-0089
  • Fax:
Mailing address:
  • Phone: 202-656-0089
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberU02539
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC500325
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: