Provider Demographics
NPI:1477741536
Name:NEUMARK-REIMER, DENISE (LAC)
Entity Type:Individual
Prefix:MS
First Name:DENISE
Middle Name:
Last Name:NEUMARK-REIMER
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 1:2723 COLBY AVE
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90064-3815
Mailing Address - Country:US
Mailing Address - Phone:310-479-1755
Mailing Address - Fax:310-479-1755
Practice Address - Street 1:2723 COLBY AVE
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90064-3815
Practice Address - Country:US
Practice Address - Phone:310-479-1755
Practice Address - Fax:310-479-1755
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-12
Last Update Date:2007-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3654171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist