=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184138414
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | OESSENCIALS, INC.
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/22/2017
-----------------------------------------------------
Last Update Date | 11/24/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 5567 RESEDA AVE. STE 101
-----------------------------------------------------
City | TARZANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91356
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-455-4007
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 5567 RESEDA AVE. STE 101
-----------------------------------------------------
City | TARZANA
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 91356
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 323-455-4007
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | L.AC.
-----------------------------------------------------
Name | OLESIA FARBEROV
-----------------------------------------------------
Credential | L.AC.
-----------------------------------------------------
Telephone | 310-923-0914
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number | AC10112
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------