Provider Demographics
NPI:1073721411
Name:RIGGS, CATHLEEN DIANE (LAC)
Entity type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:DIANE
Last Name:RIGGS
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 1:700 REGAL RD
Mailing Address - Street 2:A5
Mailing Address - City:ENCINITAS
Mailing Address - State:CA
Mailing Address - Zip Code:92024-4620
Mailing Address - Country:US
Mailing Address - Phone:760-633-4879
Mailing Address - Fax:
Practice Address - Street 1:700 REGAL RD
Practice Address - Street 2:A5
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-4620
Practice Address - Country:US
Practice Address - Phone:760-633-4879
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA3462171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAAC0034620OtherMEDI-CAL