Provider Demographics
NPI:1265802102
Name:DINOTE, CARA (LAC)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:
Last Name:DINOTE
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 1:2308 KETTNER BLVD STE C
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92101-1283
Mailing Address - Country:US
Mailing Address - Phone:619-665-9677
Mailing Address - Fax:
Practice Address - Street 1:2308 KETTNER BLVD STE C
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92101-1283
Practice Address - Country:US
Practice Address - Phone:619-665-9677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-10-05
Last Update Date:2018-12-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA16800171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist