MEDICARE: TURN TO ACUPUNCTURE AND WELLNESS INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2251X0800X	Orthopedic Physical Therapist
2	171100000X	Acupuncturist

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	19467	OTHER	CA	ACUPUNCTURIST
2	27789	OTHER	CA	PHYSICAL THERAPIST

General Provider Information

NPI Number	:	1396506747
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TURN TO ACUPUNCTURE AND WELLNESS INC

Provider Business Mailing Address
First Line	:	315 B AVE
Second Line	:
City	:	CORONADO
State	:	CA
Zip	:	92118-1925
Country	:	US
Telephone Number	:	619-800-1974
Fax Number	:

Provider Business Practice Location Address
First Line	:	4415 GENESEE AVE
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92117-3005
Country	:	US
Telephone Number	:	619-800-1974
Fax Number	:

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MARCELLA ODEN
Credential	:	PT, DPT, DACM, L.AC.
Telephone Number	:	808-783-4330

Provider Enumeration Date	:	01/22/2024
Last Update Date	:	01/22/2024

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Directions to “TURN TO ACUPUNCTURE AND WELLNESS INC ” Practice Location

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