Healthcare Provider Details

I. General information

NPI: 1376453944
Provider Name (Legal Business Name): DESHA INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/08/2026
Last Update Date: 09/08/2026
Certification Date: 09/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

256 N COAST HIGHWAY 101 STE B
ENCINITAS CA
92024-3274
US

IV. Provider business mailing address

256 N COAST HIGHWAY 101 STE B
ENCINITAS CA
92024-3274
US

V. Phone/Fax

Practice location:
  • Phone: 760-237-8690
  • Fax:
Mailing address:
  • Phone: 760-237-8690
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. CHRISTINA WERTHE
Title or Position: CEO
Credential: DACM
Phone: 760-237-8690