SAN DIEGO ACUPUNCTURE AND NATURAL MEDICINE NPI 1750695128

NPI Information

NPI: 1750695128
Provider Name: SAN DIEGO ACUPUNCTURE AND NATURAL MEDICINE
Classification: Acupuncturist - 171100000X
Entity Type: Organization
Address:
3636 4TH AVE STE 210
SAN DIEGO, CA
ZIP 92103
Phone: (619) 501-5654
Get Directions

SAN DIEGO ACUPUNCTURE AND NATURAL MEDICINE is an acupuncturist in San Diego, 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. SAN DIEGO ACUPUNCTURE AND NATURAL MEDICINE NPI is 1750695128. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

3636 4TH AVE STE 210
SAN DIEGO, CA
ZIP 92103-237
Phone: (619) 501-5654
Fax: (619) 785-3387

The provider's authorized official is Darcy Divanterra .
The authorized official title is Practitioner, Owner and has the following contact phone number (619) 887-0610.

The enumeration date for this NPI number is 7/28/2010 and was last updated on 12/27/2017.

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		8921	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	ZZZ23467P	OTHER		BLUE SHIELD OF CALIFORNIA
2	ZZZ55242Y	OTHER	CALIFORNIA	BLUE SHIELD OF CALIFORNIA

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: 4/28/2024

NPI Synchronization or Removal

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