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Contact Information

LAILA WAHDAN, DACCHM, MTCM, L.AC.
951 E PLAZA DR STE 120
EAGLE, ID83616-6567
 Phone: 408-761-0006
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for LAILA WAHDAN · (Female)

NPI Number 1073747820
Status Active
Credentials DACCHM, MTCM, L.AC.
Entity Individual
Enumeration date 05/07/2009
Last updated 08/06/2025 - About 10 months ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 12924
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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