Provider Demographics
NPI:1982959359
Name:SILVER SAGE ACUPUNCTURE
Entity Type:Organization
Organization Name:SILVER SAGE ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:
Authorized Official - Last Name:WARNKE
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:858-576-7243
Mailing Address - Street 1:4542 RUFFNER ST
Mailing Address - Street 2:SUITE 130
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92111-2237
Mailing Address - Country:US
Mailing Address - Phone:858-576-7243
Mailing Address - Fax:858-576-1009
Practice Address - Street 1:4542 RUFFNER ST
Practice Address - Street 2:SUITE 130
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92111-2237
Practice Address - Country:US
Practice Address - Phone:858-576-7243
Practice Address - Fax:858-576-1009
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-20
Last Update Date:2012-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC4590171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty