# GREEN OASIS ACUPUNCTURE, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1205088812
- **Authorized official:** JILL R. LYTLE L.AC (PRESIDENT/ACUPUNCTURIST)
- **Authorized official phone:** (310) 857-8776

## Contact information

- **Practice address:** 1454 CLOVERFIELD BLVD, SUITE 240, SANTA MONICA, CA 90404-2980
- **Practice address phone:** (310) 857-8776
- **Practice address fax:** (310) 315-2135
- **Mailing address:** 1454 CLOVERFIELD BLVD, SUITE 240, SANTA MONICA, CA 90404-2980
- **Mailing address phone:** (310) 857-8776
- **Mailing address fax:** (310) 315-2135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 171100000X | Acupuncturist | AC11652 | CA | Yes |

## Other

- **Enumeration date:** 10/14/2008
- **Last updated:** 10/14/2008