Provider Demographics
NPI:1700125978
Name:ARTEAGA, ANDREA MARIE
Entity Type:Individual
Prefix:
First Name:ANDREA
Middle Name:MARIE
Last Name:ARTEAGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ANDREA
Other - Middle Name:MARIE
Other - Last Name:ZEGAC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LAC
Mailing Address - Street 1:2815 JEFFERSON ST
Mailing Address - Street 2:STE. 202
Mailing Address - City:CARLSBAD
Mailing Address - State:CA
Mailing Address - Zip Code:92008-1717
Mailing Address - Country:US
Mailing Address - Phone:760-720-7367
Mailing Address - Fax:760-434-3370
Practice Address - Street 1:2815 JEFFERSON ST
Practice Address - Street 2:STE. 202
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-1717
Practice Address - Country:US
Practice Address - Phone:760-720-7367
Practice Address - Fax:760-434-3370
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-07
Last Update Date:2015-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14894171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist