| East West Natural Medicine Center, Llc | |
|
1415 Higuera St, San Luis Obispo, CA 93401-2915 | |
| (805) 543-8958 | |
| (805) 543-4403 |
| Full Name | East West Natural Medicine Center, Llc |
|---|---|
| Type | Facility |
| Speciality | Acupuncturist |
| Location | 1415 Higuera St, San Luis Obispo, California |
| Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891122800 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 171100000X | Acupuncturist | AC 14714 (California) | Primary |
| 171100000X | Acupuncturist | AC 3174 (California) | Secondary |
| 175F00000X | Naturopath | ND-473 (California) | Secondary |
| Mailing Address | Practice Location Address |
|---|---|
| East West Natural Medicine Center, Llc 1415 Higuera St, San Luis Obispo, CA 93401-2915 Ph: (805) 543-8958 | East West Natural Medicine Center, Llc 1415 Higuera St, San Luis Obispo, CA 93401-2915 Ph: (805) 543-8958 |
Mark R Wilson, Q.M.E., O.M.D., LAC Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 11573 Los Osos Valley Rd Ste H, San Luis Obispo, CA 93405 Phone: 805-439-0044 Fax: 805-439-0779 | |
Naomi Lee Brebes-mensah, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 672 Higuera St Ste 100, San Luis Obispo, CA 93401 Phone: 805-792-0229 | |
Mr. Kristo Kucaric Jr., L. AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1025 Pacific St, San Luis Obispo, CA 93401 Phone: 805-459-6561 | |
Ms. Claudia J Cadwallader, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 891 Pismo St, San Luis Obispo, CA 93401 Phone: 805-466-6825 Fax: 805-466-6825 | |
Galen Wilson, Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 11573 Los Osos Valley Rd Ste H, San Luis Obispo, CA 93405 Phone: 805-439-0044 Fax: 805-779-8583 | |
Michelle Thomas Hamilton, L.AC., C.M.T. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 232 Chorro St, San Luis Obispo, CA 93405 Phone: 805-748-0121 | |
Katie E Bair, L.AC. Acupuncturist Medicare: Not Enrolled in Medicare Practice Location: 1022 Mill St, San Luis Obispo, CA 93401 Phone: 805-242-8339 |