Provider Demographics
NPI:1689980559
Name:PASKIET, RICHARD JR (L AC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:PASKIET
Suffix:JR
Gender:M
Credentials:L AC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10768 SCRIPPS RANCH BLVD
Mailing Address - Street 2:#301
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92131-6005
Mailing Address - Country:US
Mailing Address - Phone:619-316-9387
Mailing Address - Fax:
Practice Address - Street 1:10768 SCRIPPS RANCH BLVD
Practice Address - Street 2:#301
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92131-6005
Practice Address - Country:US
Practice Address - Phone:619-316-9387
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-29
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC7421171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist