Healthcare Provider Details

I. General information

NPI: 1134421142
Provider Name (Legal Business Name): ERIN SILVER PICCOLA L.AC., DIPL.OM
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/23/2010
Last Update Date: 11/23/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

26700 TOWNE CENTRE DR STE 100
FOOTHILL RANCH CA
92610-2844
US

IV. Provider business mailing address

47 FIRWOOD
IRVINE CA
92604-4633
US

V. Phone/Fax

Practice location:
  • Phone: 949-460-9111
  • Fax: 949-460-9055
Mailing address:
  • Phone: 775-901-0308
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number13890
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: