=====================================================
General NPI Number Information
=====================================================
NPI Number | 1932825874
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | FLOWERS ACUPUNCTURE AND HERBS, A PROFESSIONAL CORPORATION
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/12/2022
-----------------------------------------------------
Last Update Date | 10/12/2022
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 15708 POMERADO RD STE N-203
-----------------------------------------------------
City | POWAY
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92064-2066
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-252-0045
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 16381 HIGHLAND MESA DR
-----------------------------------------------------
City | ESCONDIDO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92025-3508
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 619-252-0045
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | LAURA FLOWERS
-----------------------------------------------------
Credential | LAC
-----------------------------------------------------
Telephone | 619-252-0045
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 171100000X
-----------------------------------------------------
Taxonomy Name | Acupuncturist
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------