Provider Demographics
NPI:1679056576
Name:MARINA DINETS ACUPUNCTURE
Entity Type:Organization
Organization Name:MARINA DINETS ACUPUNCTURE
Other - Org Name:MARINA DINETS ACUPUNCTURE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:BUSINESS OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARINA
Authorized Official - Middle Name:
Authorized Official - Last Name:DINETS
Authorized Official - Suffix:
Authorized Official - Credentials:ACUPUNCTURIST
Authorized Official - Phone:650-338-7622
Mailing Address - Street 1:6529 LA JOLLA BLVD
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-6016
Mailing Address - Country:US
Mailing Address - Phone:650-338-7622
Mailing Address - Fax:
Practice Address - Street 1:6529 LA JOLLA BLVD
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-6016
Practice Address - Country:US
Practice Address - Phone:650-338-7622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-09-07
Last Update Date:2022-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty