Provider Demographics
NPI:1558021519
Name:SAKYA, NAMRATA (DACM, LAC)
Entity Type:Individual
Prefix:
First Name:NAMRATA
Middle Name:
Last Name:SAKYA
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3080 N PARK WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3625
Mailing Address - Country:US
Mailing Address - Phone:619-294-6616
Mailing Address - Fax:619-294-6618
Practice Address - Street 1:3080 N PARK WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-3625
Practice Address - Country:US
Practice Address - Phone:619-294-6616
Practice Address - Fax:619-294-6618
Is Sole Proprietor?:No
Enumeration Date:2021-12-17
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19330171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist