Provider Demographics
NPI:1295364552
Name:ONE WORLD MEDICINE HEALING
Entity Type:Organization
Organization Name:ONE WORLD MEDICINE HEALING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ELLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ELPHAND
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DIPL OM
Authorized Official - Phone:818-348-9973
Mailing Address - Street 1:21201 VICTORY BLVD STE 215
Mailing Address - Street 2:
Mailing Address - City:CANOGA PARK
Mailing Address - State:CA
Mailing Address - Zip Code:91303-2815
Mailing Address - Country:US
Mailing Address - Phone:818-348-9973
Mailing Address - Fax:
Practice Address - Street 1:21201 VICTORY BLVD STE 215
Practice Address - Street 2:
Practice Address - City:CANOGA PARK
Practice Address - State:CA
Practice Address - Zip Code:91303-2815
Practice Address - Country:US
Practice Address - Phone:818-348-9973
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-07
Last Update Date:2020-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty