Provider Demographics
NPI:1811614373
Name:WAY OF THE TAO, ACUPUNCTURE & WELLNESS INC.
Entity type:Organization
Organization Name:WAY OF THE TAO, ACUPUNCTURE & WELLNESS INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, LICENSED ACUPUNCTURIST
Authorized Official - Prefix:MRS
Authorized Official - First Name:KRISTINA
Authorized Official - Middle Name:MARLEN
Authorized Official - Last Name:ELMINOUFI
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:310-382-6172
Mailing Address - Street 1:918 3RD ST
Mailing Address - Street 2:
Mailing Address - City:HERMOSA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:90254-5341
Mailing Address - Country:US
Mailing Address - Phone:310-382-6172
Mailing Address - Fax:
Practice Address - Street 1:918 3RD ST
Practice Address - Street 2:
Practice Address - City:HERMOSA BEACH
Practice Address - State:CA
Practice Address - Zip Code:90254-5341
Practice Address - Country:US
Practice Address - Phone:310-382-6172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-25
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty