Wendy E Weiss, LIC. AC.
Individual provider Active NPI Acupuncturist · Lower Lake, CA
NPI 1013071836 · NPPES record last updated Jun 3, 2020
Key facts
- NPI
- 1013071836
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 4208 (CA)
- Practice address
- 9667 Hwy 29
Suite 202
Lower Lake, CA 95457-4804 - Phone
- (707) 277-0891
- Fax
- (707) 277-0891
- NPI assigned
- Dec 19, 2006
- Sex
- Female
- 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 | 4208 | CA | Yes |
Addresses
Primary practice location
9667 Hwy 29
Suite 202
Lower Lake, CA 95457-4804
Mailing address
PO Box 105
Lower Lake, CA 95457-0105
Phone (707) 277-0891
Other providers in Lower Lake, CA
- Shannon Trout
- Annunziata Johanna Paulina Van Voorene
- Adriaan Francois Van Wyk
- Karla Marie Vliet
- Ronald Raymond Walker
- Western Health Resources
- Elina Filippova Wickersham
- Terra Renne Wilson
All providers in Lower Lake, CA · Acupuncturist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2020. 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.