Provider Demographics
NPI:1275306862
Name:HERMANN, TALINA (DACM, LAC)
Entity Type:Individual
Prefix:
First Name:TALINA
Middle Name:
Last Name:HERMANN
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1482 E VALLEY RD # 775
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-1200
Mailing Address - Country:US
Mailing Address - Phone:310-804-9160
Mailing Address - Fax:
Practice Address - Street 1:1483 E VALLEY RD # STUDIO19
Practice Address - Street 2:
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93108-1248
Practice Address - Country:US
Practice Address - Phone:310-804-9160
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19784171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist