MANDALA MEDICINE LLC NPI 1124332010

NPI Information

NPI: 1124332010
Provider Name: MANDALA MEDICINE, LLC
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
618 PASEO DE PERALTA STE A
SANTA FE, NM
ZIP 87501
Phone: (505) 795-6164
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MANDALA MEDICINE, LLC is an acupuncturist in Santa Fe, NM. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. MANDALA MEDICINE, LLC NPI is 1124332010. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

618 PASEO DE PERALTA STE A
SANTA FE, NM
ZIP 87501-984
Phone: (505) 795-6164
Fax: (505) 466-4697

The provider's authorized official is Maya Yu .
The authorized official title is Doctor Of Oriental Medicine and has the following contact phone number (505) 795-6164.

The enumeration date for this NPI number is 8/3/2010 and was last updated on 8/3/2010.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		1019	NEW MEXICO	No
2	171100000X	Acupuncturist		832	NEW MEXICO	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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