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Contact Information

EASTLAKE ACUPUNCTURE & MASSAGE
LBN EASTLAKE ACUPUNCTURE INC
4550 KEARNY VILLA RD STE 208
SAN DIEGO, CA92123
 Phone: 619-370-2094
 Fax: 619-550-3269
 Website: https://www.eastlakeacupuncture.com
 

Specialty

Taxonomy Code Specialty Code Provider Type

Acupuncturist

171100000X
Indicates primary specialty

NPI Profile & details for EASTLAKE ACUPUNCTURE MASSAGE EASTLAKE ACUPUNCTURE INC · (Female)

NPI Number 1538427976
Status Active
Credentials
Entity Individual
Enumeration date 04/23/2012
Last updated 03/19/2025 - More than a year ago
Sole proprietor 1 Not specified
Identifiers
  • CA License # 14621
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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