Provider Demographics
NPI:1245042217
Name:SCHAEFER, VICTORIA (DACM, LAC)
Entity type:Individual
Prefix:
First Name:VICTORIA
Middle Name:
Last Name:SCHAEFER
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6762 ELDRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92120-2832
Mailing Address - Country:US
Mailing Address - Phone:619-665-2333
Mailing Address - Fax:
Practice Address - Street 1:7898 OSTROW ST STE A-B
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-3640
Practice Address - Country:US
Practice Address - Phone:504-931-7207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-24
Last Update Date:2025-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20272171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist