Kelly, Ata

Kelly, Ata is an individual health care provider with primary practice located at 25272 Bentley , Laguna Hills CA 92653-4610. She recently has only one registered license in Other Service Providers / Acupuncturist, which is considered as her primary health care specialty. Kelly, Ata can be contacted via phone (818) 427-8417.

Contact Information

Primary practice address
25272 Bentley Laguna Hills CA 92653-4610
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Acupuncturist 171100000X 9891 California

Profile Details

NPI number 1811042120
LBN Legal business name Kelly, Ata
Credentials L.AC., MD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Apr 11th, 2016 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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