Provider Demographics
NPI:1417376815
Name:MARING HIGA
Entity Type:Organization
Organization Name:MARING HIGA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:MARING
Authorized Official - Middle Name:
Authorized Official - Last Name:HIGA
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:619-944-3998
Mailing Address - Street 1:12865 POINTE DEL MAR WAY
Mailing Address - Street 2:120
Mailing Address - City:DEL MAR
Mailing Address - State:CA
Mailing Address - Zip Code:92014-3860
Mailing Address - Country:US
Mailing Address - Phone:619-944-3998
Mailing Address - Fax:
Practice Address - Street 1:12865 POINTE DEL MAR WAY
Practice Address - Street 2:120
Practice Address - City:DEL MAR
Practice Address - State:CA
Practice Address - Zip Code:92014-3860
Practice Address - Country:US
Practice Address - Phone:619-944-3998
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-14
Last Update Date:2014-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA12313305S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305S00000XManaged Care OrganizationsPoint of Service