PROF. TISHA MALLON L.AC. DIPL.AC. NPI 1588082911

NPI Information

NPI: 1588082911
Provider Name: PROF. TISHA MALLON, L.AC., DIPL.AC.
Classification: Acupuncturist - 171100000X
Entity Type: Individual
Address:
21 TAMAL VISTA BLVD
CORTE MADERA, CA
ZIP 94925
Phone: (415) 378-3039
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PROF. Tisha Mallon, L.AC., DIPL.AC. is an acupuncturist in Corte Madera, CA. The provider is an acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia. PROF. Tisha Mallon, L.AC., DIPL.AC. NPI is 1588082911. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

21 TAMAL VISTA BLVD
CORTE MADERA, CA
ZIP 94925-130
Phone: (415) 378-3039

The enumeration date for this NPI number is 4/2/2014 and was last updated on 12/18/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	171100000X	Acupuncturist		AC 4302	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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