Provider Demographics
NPI:1629448410
Name:SANTIAGO, PIER CLAUDINE (LAC)
Entity Type:Individual
Prefix:
First Name:PIER
Middle Name:CLAUDINE
Last Name:SANTIAGO
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 1:560 CARLSBAD VILLAGE DR STE 202
Mailing Address - Street 2:
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-2391
Mailing Address - Country:US
Mailing Address - Phone:858-753-3786
Mailing Address - Fax:
Practice Address - Street 1:560 CARLSBAD VILLAGE DR STE 202
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-2391
Practice Address - Country:US
Practice Address - Phone:858-753-3786
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-06
Last Update Date:2020-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16769171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist