Sandra Ludlow, L.AC.
Individual provider Active NPI Acupuncturist · Berkeley, CA
NPI 1154624237 · NPPES record last updated Dec 13, 2010
Key facts
- NPI
- 1154624237
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC 13767 (CA)
- Practice address
- 2840 College Ave
Berkeley, CA 94705-2148 - Phone
- (510) 731-7535
- NPI assigned
- Dec 13, 2010
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC 13767 | CA | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Acupuncture and Holistic Medicine Inc. | Acupuncturist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC 13767 | CA | Yes |
Addresses
Primary practice location
2840 College Ave
Berkeley, CA 94705-2148
Mailing address
829 Shattuck Ave
Berkeley, CA 94707-2019
Phone (510) 731-7535
Other providers in Berkeley, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 13, 2010. 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.