Provider Demographics
NPI:1811565807
Name:CHAPMAN, JONI (DACM, LAC, CFMP)
Entity Type:Individual
Prefix:DR
First Name:JONI
Middle Name:
Last Name:CHAPMAN
Suffix:
Gender:F
Credentials:DACM, LAC, CFMP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8223 JADE COAST RD UNIT 118
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92126-3460
Mailing Address - Country:US
Mailing Address - Phone:619-592-1760
Mailing Address - Fax:
Practice Address - Street 1:2204 GARNET AVE STE 202
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92109-3771
Practice Address - Country:US
Practice Address - Phone:619-592-1760
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-06-15
Last Update Date:2022-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA19155171100000X
MDU02798171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist