Provider Demographics
NPI:1689033912
Name:UPTOWN ACUPUNCTURE INC.
Entity Type:Organization
Organization Name:UPTOWN ACUPUNCTURE INC.
Other - Org Name:UPTOWN ACUPUNCTURE INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:PFEIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:619-339-9980
Mailing Address - Street 1:1286 UNIVERSITY AVE # 504
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-3312
Mailing Address - Country:US
Mailing Address - Phone:619-339-9980
Mailing Address - Fax:619-800-7000
Practice Address - Street 1:842 WASHINGTON ST STE A
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-2214
Practice Address - Country:US
Practice Address - Phone:619-800-7000
Practice Address - Fax:619-800-7000
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC8484171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty