Provider Demographics
NPI:1154846277
Name:NAYFELD, TATIANA (LAC)
Entity Type:Individual
Prefix:
First Name:TATIANA
Middle Name:
Last Name:NAYFELD
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21770 LOS ALIMOS ST BLDG A
Mailing Address - Street 2:
Mailing Address - City:CHATSWORTH
Mailing Address - State:CA
Mailing Address - Zip Code:91311-1335
Mailing Address - Country:US
Mailing Address - Phone:818-626-9239
Mailing Address - Fax:
Practice Address - Street 1:21770 LOS ALIMOS ST BLDG A
Practice Address - Street 2:
Practice Address - City:CHATSWORTH
Practice Address - State:CA
Practice Address - Zip Code:91311-1335
Practice Address - Country:US
Practice Address - Phone:818-626-9239
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16324171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist