Provider Demographics
NPI:1508014689
Name:URMSTON, STAR ENGLAND (LAC)
Entity Type:Individual
Prefix:
First Name:STAR
Middle Name:ENGLAND
Last Name:URMSTON
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 1:4121 HIGUERA ST
Mailing Address - Street 2:
Mailing Address - City:CULVER CITY
Mailing Address - State:CA
Mailing Address - Zip Code:90232-2528
Mailing Address - Country:US
Mailing Address - Phone:310-384-2111
Mailing Address - Fax:
Practice Address - Street 1:1924B E MAPLE AVE
Practice Address - Street 2:
Practice Address - City:EL SEGUNDO
Practice Address - State:CA
Practice Address - Zip Code:90245-3411
Practice Address - Country:US
Practice Address - Phone:310-384-2111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-03
Last Update Date:2008-09-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA9938171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist