Provider Demographics
NPI:1851779664
Name:ENDLESS POSSIBILITIES ACUPUNCTURE
Entity Type:Organization
Organization Name:ENDLESS POSSIBILITIES ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOSS
Authorized Official - Prefix:DR
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:H
Authorized Official - Last Name:ROZENN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DAOM, FABORM
Authorized Official - Phone:831-426-1093
Mailing Address - Street 1:501 CEDAR ST
Mailing Address - Street 2:SUITE B
Mailing Address - City:SANTA CRUZ
Mailing Address - State:CA
Mailing Address - Zip Code:95060-4358
Mailing Address - Country:US
Mailing Address - Phone:831-426-1093
Mailing Address - Fax:831-426-6523
Practice Address - Street 1:501 CEDAR ST
Practice Address - Street 2:SUITE B
Practice Address - City:SANTA CRUZ
Practice Address - State:CA
Practice Address - Zip Code:95060-4358
Practice Address - Country:US
Practice Address - Phone:831-426-1093
Practice Address - Fax:831-426-6523
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-12
Last Update Date:2015-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16580171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty