Provider Demographics
NPI:1336724079
Name:LOS ALAMOS ACUPUNCTURE LLC
Entity Type:Organization
Organization Name:LOS ALAMOS ACUPUNCTURE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NIKHIL
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMBURN
Authorized Official - Suffix:
Authorized Official - Credentials:DOM
Authorized Official - Phone:802-373-2352
Mailing Address - Street 1:1599 39TH ST APT B
Mailing Address - Street 2:
Mailing Address - City:LOS ALAMOS
Mailing Address - State:NM
Mailing Address - Zip Code:87544-2899
Mailing Address - Country:US
Mailing Address - Phone:802-373-2352
Mailing Address - Fax:
Practice Address - Street 1:2101 TRINITY DR STE Q
Practice Address - Street 2:
Practice Address - City:LOS ALAMOS
Practice Address - State:NM
Practice Address - Zip Code:87544-4103
Practice Address - Country:US
Practice Address - Phone:505-396-4030
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-15
Last Update Date:2021-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage TherapistGroup - Multi-Specialty