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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

NPI Number 1538427976
LBN Legal business name EASTLAKE ACUPUNCTURE INC
DBA Doing business as EASTLAKE ACUPUNCTURE & MASSAGE
Authorized official NADIA AYADI - (LICENSED ACUPUNCTURIST OWNER OF EAS)
Entity Organization
Organization subpart 1 No
Enumeration date 04/23/2012
Last updated 03/19/2025 - More than a year ago
Identifiers
CA License # 14621
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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