Healthcare Provider Details

I. General information

NPI: 1124128152
Provider Name (Legal Business Name): KAREN C SULGER LA.C.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/22/2006
Last Update Date: 07/09/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

317 N EL CAMINO REAL #401
ENCINITAS CA
92024-2811
US

IV. Provider business mailing address

317 N EL CAMINO REAL #401
ENCINITAS CA
92024-2811
US

V. Phone/Fax

Practice location:
  • Phone: 760-635-0581
  • Fax: 760-635-0587
Mailing address:
  • Phone: 760-635-0581
  • Fax: 760-635-0587

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberCA5573
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: