Provider Demographics
NPI:1588116727
Name:HOLISTIC CENTER FOR NATURAL HEALING LLC
Entity type:Organization
Organization Name:HOLISTIC CENTER FOR NATURAL HEALING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF NATURAL MEDICINE
Authorized Official - Prefix:MRS
Authorized Official - First Name:OTILIA
Authorized Official - Middle Name:MAGDALENA
Authorized Official - Last Name:TIUTIN
Authorized Official - Suffix:
Authorized Official - Credentials:DNM, PHD
Authorized Official - Phone:925-207-0966
Mailing Address - Street 1:86 BANBRIDGE PL
Mailing Address - Street 2:
Mailing Address - City:PLEASANT HILL
Mailing Address - State:CA
Mailing Address - Zip Code:94523-2536
Mailing Address - Country:US
Mailing Address - Phone:925-207-0966
Mailing Address - Fax:
Practice Address - Street 1:86 BANBRIDGE PL
Practice Address - Street 2:
Practice Address - City:PLEASANT HILL
Practice Address - State:CA
Practice Address - Zip Code:94523-2536
Practice Address - Country:US
Practice Address - Phone:925-207-0966
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-03
Last Update Date:2016-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty