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Contact Information

JARED ANDERSEN, L.AC
4002 PARK BLVD
SUITE E
SAN DIEGO, CA92103-2600
 Phone: 858-204-5816
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for JARED ANDERSEN · (Male)

NPI Number 1225272479
Status Active
Credentials L.AC
Entity Individual
Enumeration date 04/30/2009
Last updated 04/30/2009 - About 17 years ago
Sole proprietor 1 Yes
Identifiers
  • CA License # 12905
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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