Provider Demographics
NPI:1164554143
Name:RUSH, BARBARA (ND, LAC)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:RUSH
Suffix:
Gender:F
Credentials:ND, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:64 FLOR DE SOL
Mailing Address - Street 2:
Mailing Address - City:RANCHO SANTA MARGARITA
Mailing Address - State:CA
Mailing Address - Zip Code:92688-1409
Mailing Address - Country:US
Mailing Address - Phone:949-599-5039
Mailing Address - Fax:
Practice Address - Street 1:64 FLOR DE SOL
Practice Address - Street 2:
Practice Address - City:RANCHO SANTA MARGARITA
Practice Address - State:CA
Practice Address - Zip Code:92688-1409
Practice Address - Country:US
Practice Address - Phone:949-599-5039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-12
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC15319171100000X
CAND-500175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No171100000XOther Service ProvidersAcupuncturist