Organization
HEART BASED HEALTH ACUPUNCTURE & WELLNESS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JENNA K VITALE D.A.O.M. , L.AC. (DOCTOR/OWNER)
(818) 815-9126
Entity
Organization
Contact information
Practice address
6711 FOREST LAWN DR STE 104, LOS ANGELES, CA 90068-1032
(818) 815-9126
Mailing address
6711 FOREST LAWN DR STE 104, LOS ANGELES, CA 90068-1032
(818) 815-9126
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174174700
—
CA
Enumeration date
01/19/2021
Last updated
03/27/2025
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