Provider Demographics
NPI:1225342223
Name:OWINGS, SOFIA KRISTINA MARIA (LAC)
Entity Type:Individual
Prefix:MRS
First Name:SOFIA
Middle Name:KRISTINA MARIA
Last Name:OWINGS
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 1:215 E SUMMER ST APT 5B
Mailing Address - Street 2:
Mailing Address - City:OJAI
Mailing Address - State:CA
Mailing Address - Zip Code:93023-2755
Mailing Address - Country:US
Mailing Address - Phone:310-562-4050
Mailing Address - Fax:
Practice Address - Street 1:206 N SIGNAL ST STE H
Practice Address - Street 2:
Practice Address - City:OJAI
Practice Address - State:CA
Practice Address - Zip Code:93023-2656
Practice Address - Country:US
Practice Address - Phone:310-562-4050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-02
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18633171100000X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program