Provider Demographics
NPI:1508262007
Name:CERAMI ACUPUNCTURE
Entity Type:Organization
Organization Name:CERAMI ACUPUNCTURE
Other - Org Name:NISAN S. CERAMI, L.AC.
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:MS
Authorized Official - First Name:NISAN
Authorized Official - Middle Name:SAADET
Authorized Official - Last Name:CERAMI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:805-338-6600
Mailing Address - Street 1:230 BEDFORD PL
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91360-5325
Mailing Address - Country:US
Mailing Address - Phone:805-338-6600
Mailing Address - Fax:
Practice Address - Street 1:2277 TOWNSGATE RD
Practice Address - Street 2:SUITE 214
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91361-2406
Practice Address - Country:US
Practice Address - Phone:805-338-6600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16214305R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization