Provider Demographics
NPI:1427014125
Name:HESS, JOAN-ANGELA (LAC)
Entity type:Individual
Prefix:
First Name:JOAN-ANGELA
Middle Name:
Last Name:HESS
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14850 HESBY ST
Mailing Address - Street 2:#2
Mailing Address - City:SHERMAN OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:91403-1659
Mailing Address - Country:US
Mailing Address - Phone:818-789-7342
Mailing Address - Fax:818-789-4365
Practice Address - Street 1:2441 HONOLULU AVE
Practice Address - Street 2:SUITE 142
Practice Address - City:MONTROSE
Practice Address - State:CA
Practice Address - Zip Code:91020-1847
Practice Address - Country:US
Practice Address - Phone:818-919-2657
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-04-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10757171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist