Healthcare Provider Details

I. General information

NPI: 1174997266
Provider Name (Legal Business Name): ORSINI ACUPUNCTURE & HERBAL MEDICINE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/30/2015
Last Update Date: 11/30/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

609 S VULCAN AVE SUITE 201
ENCINITAS CA
92024-3600
US

IV. Provider business mailing address

PO BOX 546
CARDIFF CA
92007-0546
US

V. Phone/Fax

Practice location:
  • Phone: 760-716-9990
  • Fax:
Mailing address:
  • Phone: 858-436-7600
  • Fax: 760-797-1845

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC16504
License Number StateCA

VIII. Authorized Official

Name: MICHELLE MELTON
Title or Position: OFFICE MANAGER
Credential:
Phone: 858-436-7600