Provider Demographics
NPI:1043606346
Name:INNATE HEALTH NATUROPATHIC PC
Entity Type:Organization
Organization Name:INNATE HEALTH NATUROPATHIC PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NATUROPATHIC DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SAFINA
Authorized Official - Middle Name:
Authorized Official - Last Name:AULAKH
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:310-405-1728
Mailing Address - Street 1:854 9TH ST
Mailing Address - Street 2:UNIT 2
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-1541
Mailing Address - Country:US
Mailing Address - Phone:310-405-1728
Mailing Address - Fax:310-319-1526
Practice Address - Street 1:854 9TH ST
Practice Address - Street 2:UNIT 2
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-1541
Practice Address - Country:US
Practice Address - Phone:310-405-1728
Practice Address - Fax:310-319-1526
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-13
Last Update Date:2015-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND730175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes175F00000XOther Service ProvidersNaturopathGroup - Single Specialty