Healthcare Provider Details

I. General information

NPI: 1659295988
Provider Name (Legal Business Name): STONE AND SAGE HOLDINGS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/07/2026
Last Update Date: 08/07/2026
Certification Date: 08/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22685 THREE NOTCH RD STE 202
CALIFORNIA MD
20619-3152
US

IV. Provider business mailing address

22685 THREE NOTCH RD STE 202
CALIFORNIA MD
20619-3152
US

V. Phone/Fax

Practice location:
  • Phone: 301-202-4053
  • Fax: 202-408-4405
Mailing address:
  • Phone: 301-202-4053
  • Fax: 202-408-4405

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174H00000X
TaxonomyHealth Educator
License Number
License Number State

VIII. Authorized Official

Name: DR. JAYDEE JACOB ROBLES
Title or Position: LICENSED ACUPUNCTURIST
Credential: DACM, L.AC.
Phone: 301-202-4053