Provider Demographics
NPI:1316015084
Name:FARBER, ARCADIA (LAC, MTCM)
Entity Type:Individual
Prefix:
First Name:ARCADIA
Middle Name:
Last Name:FARBER
Suffix:
Gender:F
Credentials:LAC, MTCM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 5113
Mailing Address - Street 2:
Mailing Address - City:LARKSPUR
Mailing Address - State:CA
Mailing Address - Zip Code:94977-5113
Mailing Address - Country:US
Mailing Address - Phone:831-251-9039
Mailing Address - Fax:
Practice Address - Street 1:740 FRONT ST STE 315
Practice Address - Street 2:
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4560
Practice Address - Country:US
Practice Address - Phone:831-251-9039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11268171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist