MEDICARE: OJAI HERBS & ACUPUNCTURE INC

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	261Q00000X	Clinic/Center	8423	CA

General Provider Information

NPI Number	:	1659813947
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	OJAI HERBS & ACUPUNCTURE INC

Provider Business Mailing Address
First Line	:	115 PIRIE RD STE A1
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-3100
Country	:	US
Telephone Number	:	805-640-8700
Fax Number	:

Provider Business Practice Location Address
First Line	:	115 PIRIE RD STE A1
Second Line	:
City	:	OJAI
State	:	CA
Zip	:	93023-3100
Country	:	US
Telephone Number	:	805-640-8700
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	NATHAN KAEHLER
Credential	:
Telephone Number	:	805-640-8700

Provider Enumeration Date	:	11/17/2016
Last Update Date	:	11/17/2016

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