Provider Demographics
NPI:1902690407
Name:VIE RITUALS INC
Entity type:Organization
Organization Name:VIE RITUALS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MONA
Authorized Official - Middle Name:
Authorized Official - Last Name:DAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:310-902-0240
Mailing Address - Street 1:8581 SANTA MONICA BLVD # 533
Mailing Address - Street 2:
Mailing Address - City:WEST HOLLYWOOD
Mailing Address - State:CA
Mailing Address - Zip Code:90069-4120
Mailing Address - Country:US
Mailing Address - Phone:310-927-3097
Mailing Address - Fax:310-388-0968
Practice Address - Street 1:2809 TWEEDY BLVD
Practice Address - Street 2:
Practice Address - City:SOUTH GATE
Practice Address - State:CA
Practice Address - Zip Code:90280-5538
Practice Address - Country:US
Practice Address - Phone:310-927-3097
Practice Address - Fax:310-388-0968
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-08
Last Update Date:2025-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty