Provider Demographics
NPI:1255972725
Name:ARNHEITER, LINDA A (LAC)
Entity type:Individual
Prefix:MS
First Name:LINDA
Middle Name:A
Last Name:ARNHEITER
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:MS
Other - First Name:LINDA
Other - Middle Name:
Other - Last Name:ARNHEITER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:223 WINDTREE AVE
Mailing Address - Street 2:
Mailing Address - City:THOUSAND OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91320-4131
Mailing Address - Country:US
Mailing Address - Phone:818-438-3738
Mailing Address - Fax:805-480-0024
Practice Address - Street 1:28348 ROADSIDE DR STE 104E
Practice Address - Street 2:
Practice Address - City:AGOURA HILLS
Practice Address - State:CA
Practice Address - Zip Code:91301-2595
Practice Address - Country:US
Practice Address - Phone:818-438-3738
Practice Address - Fax:805-480-0024
Is Sole Proprietor?:No
Enumeration Date:2019-10-04
Last Update Date:2019-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18630171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist