Provider Demographics
NPI:1629733746
Name:TAPROOT ACUPUNCTURE & HERBS INC
Entity Type:Organization
Organization Name:TAPROOT ACUPUNCTURE & HERBS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:
Authorized Official - Last Name:BENTOLILA
Authorized Official - Suffix:
Authorized Official - Credentials:DAIM, LAC
Authorized Official - Phone:626-841-2991
Mailing Address - Street 1:90 N BALDWIN AVE STE 3
Mailing Address - Street 2:
Mailing Address - City:SIERRA MADRE
Mailing Address - State:CA
Mailing Address - Zip Code:91024-1963
Mailing Address - Country:US
Mailing Address - Phone:626-841-2991
Mailing Address - Fax:
Practice Address - Street 1:90 N BALDWIN AVE STE 3
Practice Address - Street 2:
Practice Address - City:SIERRA MADRE
Practice Address - State:CA
Practice Address - Zip Code:91024-1963
Practice Address - Country:US
Practice Address - Phone:626-841-2991
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-11-03
Last Update Date:2021-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty