Provider Demographics
NPI:1336383074
Name:ESSENTIAL POINTS ACUPUNCTURE, APC
Entity Type:Organization
Organization Name:ESSENTIAL POINTS ACUPUNCTURE, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:ROMIOS
Authorized Official - Last Name:PARKLLAN
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:619-286-6200
Mailing Address - Street 1:7676 JACKSON DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92119-1500
Mailing Address - Country:US
Mailing Address - Phone:619-286-6200
Mailing Address - Fax:
Practice Address - Street 1:7676 JACKSON DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92119-1500
Practice Address - Country:US
Practice Address - Phone:619-286-6200
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-04-24
Last Update Date:2009-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC11991171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty