Provider Demographics
NPI:1467296665
Name:JULIA CATHERINE SIMONTON ACUPUNCTURE CENTER OF LA JOLLA
Entity type:Organization
Organization Name:JULIA CATHERINE SIMONTON ACUPUNCTURE CENTER OF LA JOLLA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JULIA
Authorized Official - Middle Name:CATHERINE
Authorized Official - Last Name:SIMONTON
Authorized Official - Suffix:
Authorized Official - Credentials:LAC, DIPL OM
Authorized Official - Phone:858-450-0620
Mailing Address - Street 1:8950 VILLA LA JOLLA DR STE B129
Mailing Address - Street 2:
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1731
Mailing Address - Country:US
Mailing Address - Phone:858-450-0620
Mailing Address - Fax:858-450-2175
Practice Address - Street 1:8950 VILLA LA JOLLA DR STE B129
Practice Address - Street 2:
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1731
Practice Address - Country:US
Practice Address - Phone:858-450-0620
Practice Address - Fax:858-450-2175
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-06-21
Last Update Date:2024-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty