TRACIE ALEXANDRA ENDELSON L.AC. NPI 1417463605

NPI Information

  • NPI: 1417463605
  • Provider Name: TRACIE ALEXANDRA ENDELSON, L.AC.
  • Classification: Acupuncturist - 171100000X
  • Entity Type: Individual
  • Address: 920 PROSPECT AVE
    HERMOSA BEACH, CA
    ZIP 90254
  • Phone: (424) 265-2480

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NPI Details

Tracie Alexandra Endelson, L.AC. is an acupuncturist in Hermosa Beach, CA. 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. Tracie Alexandra Endelson, L.AC. NPI is 1417463605. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

920 PROSPECT AVE
HERMOSA BEACH, CA
ZIP 90254-322
Phone: (424) 265-2480

The enumeration date for this NPI number is 12/25/2017 and was last updated on 12/25/2017.

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
1171100000XAcupuncturist17874CALIFORNIAYes

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: 11/21/2025

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