Provider Demographics
NPI:1710495882
Name:DAHLHEIM, ERIKA (LAC)
Entity Type:Individual
Prefix:DR
First Name:ERIKA
Middle Name:
Last Name:DAHLHEIM
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 1:357 19TH AVE # 2-B
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94121-2304
Mailing Address - Country:US
Mailing Address - Phone:415-670-0687
Mailing Address - Fax:
Practice Address - Street 1:399 ARGUELLO BLVD
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94118-1427
Practice Address - Country:US
Practice Address - Phone:415-670-0687
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-01-11
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16413171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist