The One Health Boutique, LLC

Primary specialty

ChiropractorTaxonomy code 111N00000X

Legal business name

THE ONE HEALTH BOUTIQUE, LLC

Practice address

5350 Riley St
San Diego, CA 92110

Phone

(858) 888-6452

Fax

(619) 793-1263

NPI assigned

Jan 11, 2018

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ms. Elena Kozina

Title

Owner

Phone

(310) 593-3804

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1515628800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1567641600000",
    "number": "1245748342",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 RILEY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921102621",
            "telephone_number": "858-888-6452",
            "fax_number": "619-793-1263"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5350 RILEY ST",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "92110",
            "telephone_number": "858-888-6452",
            "fax_number": "619-793-1263"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8895 Towne Centre Dr Ste 101",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "921225542",
            "country_code": "US",
            "telephone_number": "310-593-3804",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5350 Riley St",
            "address_purpose": "LOCATION",
            "city": "San Diego",
            "state": "CA",
            "postal_code": "92110",
            "country_code": "US",
            "telephone_number": "858-888-6452",
            "fax_number": "619-793-1263",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "THE ONE HEALTH BOUTIQUE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-11",
        "last_updated": "2019-09-05",
        "status": "A",
        "authorized_official_last_name": "KOZINA",
        "authorized_official_first_name": "ELENA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "310-593-3804",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• The Neighborhood House Association
• The Neighborhood House Association
• The Neighborhood House Association
• The Neighborhood Therapist Licensed Clinical Social Worker
• The Om Acupuncture Wellness, Inc
• The Palavra Tree, Inc
• The Palavra Tree, Inc
• The Palavra Tree, Inc.
• The Pink Icing on the Cake
• The Psych NP, Nursing Inc.

• Chiropractor in San Diego, CA
• Providers in San Diego, CA by specialty
• Chiropractor in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.