Healthcare Provider Details

I. General information

NPI: 1952229098
Provider Name (Legal Business Name): ARIEL VICTORIA ALVERGUE L.AC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/07/2026
Last Update Date: 07/07/2026
Certification Date: 07/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1283 GILMAN ST
BERKELEY CA
94706-2351
US

IV. Provider business mailing address

1283 GILMAN ST
BERKELEY CA
94706-2351
US

V. Phone/Fax

Practice location:
  • Phone: 510-214-2980
  • Fax:
Mailing address:
  • Phone: 925-448-6959
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20695
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: