MEDICARE: HEALING ELEMENTS ACUPUNCTURE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	171100000X	Acupuncturist

General Provider Information

NPI Number	:	1407691413
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEALING ELEMENTS ACUPUNCTURE

Provider Business Mailing Address
First Line	:	606 N DETROIT ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-1946
Country	:	US
Telephone Number	:	516-528-5433
Fax Number	:

Provider Business Practice Location Address
First Line	:	606 N DETROIT ST
Second Line	:
City	:	LOS ANGELES
State	:	CA
Zip	:	90036-1946
Country	:	US
Telephone Number	:	516-528-5433
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALEXIS SANDLER
Credential	:
Telephone Number	:	516-528-5433

Provider Enumeration Date	:	07/01/2024
Last Update Date	:	07/03/2024

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