Acupuncture Center of Los Alamos

Organization Active NPI Acupuncturist · Los Alamos, NM

NPI 1720109101 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1720109101
Entity type
Organization (NPI type 2)
Primary specialty
Acupuncturist 171100000X
License
534 (NM)
Legal business name
ACUPUNCTURE CENTER OF LOS ALAMOS
Practice address
2610 Trinity Dr
Suite 14
Los Alamos, NM 87544-2376
Phone
(505) 663-1339
Fax
(505) 662-7371
NPI assigned
Apr 3, 2007
Organization subpart
No

Authorized official

Name
Andrea Johansen, DOM
Title
President
Phone
(505) 663-1339

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

557 Oppenheimer Dr
Ste 100
Los Alamos, NM 87544
Phone (505) 490-2149

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist
Group: 193400000X SINGLE SPECIALTY GROUP
171100000X 534 NM Yes

Addresses

Primary practice location

2610 Trinity Dr
Suite 14
Los Alamos, NM 87544-2376

Mailing address

2610 Trinity Dr
Suite 14
Los Alamos, NM 87544-2376
Phone (505) 663-1339

Other providers in Los Alamos, NM

All providers in Los Alamos, NM · Acupuncturist in New Mexico

Sources for this page

Verify at the official NPI Registry.