Whimsy Autumn Anderson, ND

Individual provider Active NPI Naturopath · West Hollywood, CA

NPI 1497041875 · NPPES record last updated Jun 23, 2011

Key facts

NPI
1497041875
Entity type
Individual (NPI type 1)
Primary specialty
Naturopath 175F00000X
License
C323 (CA)
Practice address
7855 Santa Monica Blvd
West Hollywood, CA 90046-5344
Phone
(323) 762-3982
Fax
(323) 650-6752
NPI assigned
Jun 23, 2011
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

State licenses

LicenseStateTypeSpecialty
C323CAMDNaturopath

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Naturopath 175F00000X C323 CA Yes

Addresses

Primary practice location

7855 Santa Monica Blvd
West Hollywood, CA 90046-5344

Mailing address

1274 N Laurel Ave Apt 17
West Hollywood, CA 90046-5124
Phone (323) 762-3982

Other providers in West Hollywood, CA

All providers in West Hollywood, CA · Naturopath in California

Sources for this page

Verify at the official NPI Registry.