Provider Demographics
NPI:1730468224
Name:SHPIGEL, ALEX (LAC)
Entity Type:Individual
Prefix:
First Name:ALEX
Middle Name:
Last Name:SHPIGEL
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2535 CAMINO DEL RIO S STE 225
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-3756
Mailing Address - Country:US
Mailing Address - Phone:619-681-1919
Mailing Address - Fax:619-681-1922
Practice Address - Street 1:2535 CAMINO DEL RIO S STE 225
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3756
Practice Address - Country:US
Practice Address - Phone:619-681-1919
Practice Address - Fax:619-681-1922
Is Sole Proprietor?:Yes
Enumeration Date:2011-08-15
Last Update Date:2011-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA10071171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist