Healthcare Provider Details

I. General information

NPI: 1144488644
Provider Name (Legal Business Name): ORIENTAL MEDICAL ARTS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/30/2008
Last Update Date: 05/30/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10900 MENAUL BLVD NE SUITE F
ALBUQUERQUE NM
87112-2455
US

IV. Provider business mailing address

10900 MENAUL BLVD NE SUITE F
ALBUQUERQUE NM
87112-2455
US

V. Phone/Fax

Practice location:
  • Phone: 505-573-6673
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number815
License Number StateNM

VIII. Authorized Official

Name: SUSAN K TURNER
Title or Position: PRESIDENT
Credential:
Phone: 505-573-6673