Healthcare Provider Details

I. General information

NPI: 1801564018
Provider Name (Legal Business Name): HUMMINGBIRD INTEGRATIVE HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/01/2021
Last Update Date: 09/01/2021
Certification Date: 09/01/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1114 HICKOX ST STE G
SANTA FE NM
87505-1088
US

IV. Provider business mailing address

26 RED RAVEN RD
SANTA FE NM
87508-8348
US

V. Phone/Fax

Practice location:
  • Phone: 505-218-7174
  • Fax:
Mailing address:
  • Phone: 510-290-7989
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code172P00000X
TaxonomyNaprapath
License Number
License Number State

VIII. Authorized Official

Name: DR. UZI BROSHI
Title or Position: MANAGING OWNER
Credential: DN
Phone: 510-290-7989