National Provider Identifier Database

NIKO S DETRA, DACM., L.AC. – NPI #1790671378
Acupuncturist

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.


Contact Information

NIKO S DETRA, DACM., L.AC.
3503 4TH AVE
SAN DIEGO, CA92103-4912
Phone: 619-844-1602
Fax:
Website:
Specialty Taxonomy Code
* Acupuncturist 171100000X

* Indicates primary specialty

NPI Profile & details for NIKO S DETRA

NPI Number 1790671378
Credentials DACM., L.AC.
Entity Individual
Enumeration date 06/17/2025
Last updated 07/30/2025 - About 10 months ago
Sole proprietor1 Yes
Identifiers
  • CA License #: AC20299
Hospital affiliation n/a

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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