Loren Avry Stiteler
Individual provider Active NPI Acupuncturist · Topanga, CA
NPI 1003323494 · NPPES record last updated Jan 7, 2018
Key facts
- NPI
- 1003323494
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- Practice address
- 22916 Portage Circle Dr
Topanga, CA 90290-4029 - Phone
- (818) 371-0123
- NPI assigned
- Jan 7, 2018
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | Yes |
Addresses
Primary practice location
22916 Portage Circle Dr
Topanga, CA 90290-4029
Mailing address
22916 Portage Circle Dr
Topanga, CA 90290-4029
Other providers in Topanga, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.