Provider Demographics
NPI: | 1679388698 |
---|---|
Name: | ELEMENTS IN HARMONY ACUPUNCTURE AND CHINESE HERBS |
Entity type: | Organization |
Organization Name: | ELEMENTS IN HARMONY ACUPUNCTURE AND CHINESE HERBS |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | DR |
Authorized Official - First Name: | ANNA KATHERINE |
Authorized Official - Middle Name: | NAVIDA |
Authorized Official - Last Name: | DOLOPO |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | DAOM, DIPL OM, LAC |
Authorized Official - Phone: | 619-341-4341 |
Mailing Address - Street 1: | 23151 VERDUGO DR STE 114 |
Mailing Address - Street 2: | |
Mailing Address - City: | LAGUNA HILLS |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 92653-1340 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 619-341-4341 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 23151 VERDUGO DR STE 114 |
Practice Address - Street 2: | |
Practice Address - City: | LAGUNA HILLS |
Practice Address - State: | CA |
Practice Address - Zip Code: | 92653-1340 |
Practice Address - Country: | US |
Practice Address - Phone: | 619-341-4341 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-02-07 |
Last Update Date: | 2025-02-07 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 171100000X | Other Service Providers | Acupuncturist | Group - Single Specialty |