Healthcare Provider Details

I. General information

NPI: 1801726112
Provider Name (Legal Business Name): SARAH SIEGEL LAC, DACCHM
Entity Type: Individual
Gender:
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/20/2026
Last Update Date: 05/20/2026
Certification Date: 05/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1019 SOLANO AVE STE B
ALBANY CA
94706-1690
US

IV. Provider business mailing address

1019 SOLANO AVE STE B
ALBANY CA
94706-1690
US

V. Phone/Fax

Practice location:
  • Phone: 510-224-3698
  • Fax:
Mailing address:
  • Phone: 510-224-3698
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20660
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: