Provider Demographics
NPI:1184886723
Name:TIBETAN HEALING CENTER
Entity type:Organization
Organization Name:TIBETAN HEALING CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SONDRA
Authorized Official - Middle Name:M
Authorized Official - Last Name:BUSCHMANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:619-325-0992
Mailing Address - Street 1:4115 3RD AVE
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-1443
Mailing Address - Country:US
Mailing Address - Phone:619-325-0992
Mailing Address - Fax:
Practice Address - Street 1:4115 3RD AVE
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-1443
Practice Address - Country:US
Practice Address - Phone:619-325-0992
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-25
Last Update Date:2008-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11931171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty