Provider Demographics
NPI:1417328386
Name:SPINALI, ARIADNI (LAC)
Entity Type:Individual
Prefix:MRS
First Name:ARIADNI
Middle Name:
Last Name:SPINALI
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1728 BEDFORD LN APT 4
Mailing Address - Street 2:
Mailing Address - City:NEWPORT BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92660-4751
Mailing Address - Country:US
Mailing Address - Phone:949-680-5609
Mailing Address - Fax:
Practice Address - Street 1:1728 BEDFORD LN APT 4
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-4751
Practice Address - Country:US
Practice Address - Phone:949-680-5609
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-16
Last Update Date:2015-10-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16809171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist