Katrina Marie Haley, LAC
Individual provider Active NPI Acupuncturist · Los Angeles, CA
NPI 1194274084 · NPPES record last updated Oct 3, 2016
Key facts
- NPI
- 1194274084
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- 17341 (CA)
- Practice address
- 4146 W 29TH St
Los Angeles, CA 90016-3602 - Phone
- (949) 945-4122
- NPI assigned
- Oct 3, 2016
- 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 |
|---|---|---|---|
| 17341 | CA | MD | Orthopedic Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Access Acupuncture and Holistic Health | Acupuncturist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | 17341 | CA | Yes |
Addresses
Primary practice location
4146 W 29TH St
Los Angeles, CA 90016-3602
Mailing address
22982 Via San Gabriel
Mission Viejo, CA 92691-2003
Other providers in Los Angeles, CA
- Haley & Lee Inc
- Doris Jean Haley
- Erin Liana Haley
- George Franklin Haley
- Jennifer Cecelia Haley
- Kimberly Haley
- Margaret Haley
- Nellie Mae Haley
- Rena Haley
- Stephanie I Haley
All providers in Los Angeles, 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 Oct 3, 2016. 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.