Provider Demographics
NPI:1144501404
Name:WESTLAKE ALTERNATIVE HEALTHCARE
Entity type:Organization
Organization Name:WESTLAKE ALTERNATIVE HEALTHCARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:HOPE
Authorized Official - Middle Name:
Authorized Official - Last Name:RYF
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:805-494-3200
Mailing Address - Street 1:3625 E THOUSAND OAKS BLVD
Mailing Address - Street 2:220
Mailing Address - City:WESTLAKE VILLAGE
Mailing Address - State:CA
Mailing Address - Zip Code:91362-3626
Mailing Address - Country:US
Mailing Address - Phone:805-494-3200
Mailing Address - Fax:805-449-9248
Practice Address - Street 1:3625 E THOUSAND OAKS BLVD
Practice Address - Street 2:220
Practice Address - City:WESTLAKE VILLAGE
Practice Address - State:CA
Practice Address - Zip Code:91362-3626
Practice Address - Country:US
Practice Address - Phone:805-494-3200
Practice Address - Fax:805-449-9248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-31
Last Update Date:2011-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC3698171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty