Healthcare Provider Details

I. General information

NPI: 1942055660
Provider Name (Legal Business Name): CHYRIE RAMIREZ DACM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/18/2024
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1309 S MISSION RD STE B
FALLBROOK CA
92028-4168
US

IV. Provider business mailing address

PO BOX 1454
PAUMA VALLEY CA
92061-1454
US

V. Phone/Fax

Practice location:
  • Phone: 833-867-4642
  • Fax:
Mailing address:
  • Phone: 760-443-9884
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC19840
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: