Provider Demographics
NPI:1215594817
Name:QI SYNERGY ACUPUNCTURE CORPORATION
Entity Type:Organization
Organization Name:QI SYNERGY ACUPUNCTURE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:KEILA
Authorized Official - Middle Name:
Authorized Official - Last Name:GUIMARAES
Authorized Official - Suffix:
Authorized Official - Credentials:DACM, MSOM, L AC
Authorized Official - Phone:858-699-8565
Mailing Address - Street 1:1924 SHADY ACRE CIR
Mailing Address - Street 2:
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-3142
Mailing Address - Country:US
Mailing Address - Phone:858-699-8565
Mailing Address - Fax:
Practice Address - Street 1:1991 VILLAGE PARK WAY STE 100-2D
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-1994
Practice Address - Country:US
Practice Address - Phone:760-487-8381
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-05-20
Last Update Date:2019-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty