Provider Demographics
NPI:1720683857
Name:ARREDONDO, DAWN (DTCM, LAC)
Entity Type:Individual
Prefix:DR
First Name:DAWN
Middle Name:
Last Name:ARREDONDO
Suffix:
Gender:F
Credentials:DTCM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1241 BUNDAGE CT
Mailing Address - Street 2:
Mailing Address - City:MARINA
Mailing Address - State:CA
Mailing Address - Zip Code:93933-5006
Mailing Address - Country:US
Mailing Address - Phone:415-871-7438
Mailing Address - Fax:
Practice Address - Street 1:700 CASS ST STE 116
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-2921
Practice Address - Country:US
Practice Address - Phone:831-232-9099
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-04
Last Update Date:2020-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18954171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist