Provider Demographics
NPI:1902032279
Name:NATUROPATHIC INTEGRATIVE FAMILY HEALTHCARE, PC
Entity Type:Organization
Organization Name:NATUROPATHIC INTEGRATIVE FAMILY HEALTHCARE, PC
Other - Org Name:NATURAL ROOTS MEDICINE NATUROPATHIC WELLNESS CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO-PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:MICAELA
Authorized Official - Middle Name:R
Authorized Official - Last Name:FINLAYSON
Authorized Official - Suffix:
Authorized Official - Credentials:ND
Authorized Official - Phone:818-484-5185
Mailing Address - Street 1:2769 W BROADWAY
Mailing Address - Street 2:
Mailing Address - City:EAGLE ROCK
Mailing Address - State:CA
Mailing Address - Zip Code:90041-1038
Mailing Address - Country:US
Mailing Address - Phone:818-484-5185
Mailing Address - Fax:323-256-6446
Practice Address - Street 1:2769 W BROADWAY
Practice Address - Street 2:
Practice Address - City:EAGLE ROCK
Practice Address - State:CA
Practice Address - Zip Code:90041-1038
Practice Address - Country:US
Practice Address - Phone:818-484-5185
Practice Address - Fax:323-256-6446
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-06-01
Last Update Date:2009-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAND-301261QH0100X, 261QP2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2300XAmbulatory Health Care FacilitiesClinic/CenterPrimary Care
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service