Provider Demographics
NPI:1629569017
Name:KROENER, ARNAUD (LAC DAOM DIPL OM)
Entity Type:Individual
Prefix:DR
First Name:ARNAUD
Middle Name:
Last Name:KROENER
Suffix:
Gender:M
Credentials:LAC DAOM DIPL OM
Other - Prefix:DR
Other - First Name:ARNO
Other - Middle Name:
Other - Last Name:KRONER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LAC DAOM DIPL OM
Mailing Address - Street 1:1559 ARMACOST AVE APT 102
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90025-2779
Mailing Address - Country:US
Mailing Address - Phone:323-459-6152
Mailing Address - Fax:
Practice Address - Street 1:2001 S BARRINGTON AVE STE 220
Practice Address - Street 2:
Practice Address - City:WEST LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90025-5385
Practice Address - Country:US
Practice Address - Phone:323-459-6152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-05-22
Last Update Date:2021-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18061171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA18061OtherCA ACUPUNCTURE BOARD