Gaia Med Pllc

LBN: Gaia Med Pllc
Gaia Med Pllc is an health care organization with primary practice located at 5122 25Th Ave Ne , Seattle WA 98105. The organization recently has 3 registered licenses in different health care specialties including Dietary & Nutritional Service Providers / Dietitian, Registered, Other Service Providers / Acupuncturist, Other Service Providers / Naturopath. Other Service Providers / Naturopath is the primary health care specialty. Gaia Med Pllc can be contacted via phone (206) 900-9798, or through Kozura, Eva via phone (206) 508-1300.

Contact Information

Primary practice address
5122 25Th Ave Ne Seattle WA 98105
Fax:
Website:
Authorized official contact:
Name: Kozura, Eva ND, RD, EAMP

Health care specialties

SpecialtyCodeLicense #State
Dietary & Nutritional Service Providers / Dietitian, Registered 133V00000X 918610 Illinois
Other Service Providers / Acupuncturist 171100000X 60245607 Washington
Other Service Providers / Naturopath 175F00000X 60245488 Washington

Profile Details

NPI number 1407345804
LBN Legal business name Gaia Med Pllc
DBA Doing business as
Authorized official Kozura, Eva ND, RD, EAMP
Entity Organization
Organization subpart 1 No
Enumeration date May 2nd, 2018
Last updated Jun 8th, 2018 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1407345804 NPPES
Washington MEDICAID 2MP000004632060

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