Provider Demographics
NPI:1639611932
Name:COX, ARIANA (LAC)
Entity Type:Individual
Prefix:
First Name:ARIANA
Middle Name:
Last Name:COX
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:ARIANA
Other - Middle Name:
Other - Last Name:ACCARDI
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:901 10TH ST APT 202
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90403-2971
Mailing Address - Country:US
Mailing Address - Phone:917-439-0932
Mailing Address - Fax:
Practice Address - Street 1:901 10TH ST APT 202
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90403-2971
Practice Address - Country:US
Practice Address - Phone:917-439-0932
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-17
Last Update Date:2016-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17176171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist