Provider Demographics
NPI:1245472927
Name:CAOILI ACUPUNCTURE SERVICES INC.
Entity type:Organization
Organization Name:CAOILI ACUPUNCTURE SERVICES INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/ACUPUNCTURIST
Authorized Official - Prefix:MR
Authorized Official - First Name:RAUL
Authorized Official - Middle Name:LLOREN
Authorized Official - Last Name:CAOILI
Authorized Official - Suffix:
Authorized Official - Credentials:L AC
Authorized Official - Phone:619-474-8649
Mailing Address - Street 1:1615 SWEETWATER RD
Mailing Address - Street 2:STE. J
Mailing Address - City:NATIONAL CITY
Mailing Address - State:CA
Mailing Address - Zip Code:91950-7655
Mailing Address - Country:US
Mailing Address - Phone:619-474-8649
Mailing Address - Fax:619-474-8817
Practice Address - Street 1:1615 SWEETWATER RD
Practice Address - Street 2:STE. J
Practice Address - City:NATIONAL CITY
Practice Address - State:CA
Practice Address - Zip Code:91950-7655
Practice Address - Country:US
Practice Address - Phone:619-474-8649
Practice Address - Fax:619-474-8817
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-03-27
Last Update Date:2009-03-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC 8111171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty