Healthcare Provider Details

I. General information

NPI: 1700708278
Provider Name (Legal Business Name): NOB HILL COMMUNITY ACUPUNCTURE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/28/2026
Last Update Date: 07/28/2026
Certification Date: 07/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4118 CENTRAL AVE SE STE A
ALBUQUERQUE NM
87108-1177
US

IV. Provider business mailing address

32 CLAREMONT AVE NW
ALBUQUERQUE NM
87107-1451
US

V. Phone/Fax

Practice location:
  • Phone: 505-232-2870
  • Fax: 844-955-1801
Mailing address:
  • Phone: 505-232-2870
  • Fax: 844-955-1801

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name: MR. ERIC J MONTOYA
Title or Position: CEO, DOM
Credential: DOM
Phone: 505-270-2870