Healthcare Provider Details

I. General information

NPI: 1467266833
Provider Name (Legal Business Name): MAJID MUBEEN DIPL. O.M. (NCCAOM)
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/05/2025
Last Update Date: 02/05/2025
Certification Date: 02/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2100 CALLE DE LA VUELTA UNIT B204
SANTA FE NM
87505-4809
US

IV. Provider business mailing address

2100 CALLE DE LA VUELTA UNIT B204
SANTA FE NM
87505-4809
US

V. Phone/Fax

Practice location:
  • Phone: 248-346-5920
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAOM-2024-0019
License Number StateNM

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: