Healthcare Provider Details

I. General information

NPI: 1982154423
Provider Name (Legal Business Name): AARON MILLS L.AC.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/07/2016
Last Update Date: 10/07/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

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

IV. Provider business mailing address

3962 NOBEL DR UNIT 201
SAN DIEGO CA
92122-5794
US

V. Phone/Fax

Practice location:
  • Phone: 858-230-7980
  • Fax:
Mailing address:
  • Phone: 858-900-6634
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC17340
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: