Provider Demographics
NPI:1144460403
Name:BACHNER, ELIZABETH (LM, CPM)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:
Last Name:BACHNER
Suffix:
Gender:F
Credentials:LM, CPM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2815 W SUNSET BLVD STE 105
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90026-2168
Mailing Address - Country:US
Mailing Address - Phone:323-963-3868
Mailing Address - Fax:323-430-8054
Practice Address - Street 1:2815 W SUNSET BLVD STE 105
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90026-2168
Practice Address - Country:US
Practice Address - Phone:323-379-4614
Practice Address - Fax:323-430-8054
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-26
Last Update Date:2015-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA215176B00000X
CAAC8601171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes176B00000XOther Service ProvidersMidwife
No171100000XOther Service ProvidersAcupuncturist