Healthcare Provider Details

I. General information

NPI: 1013296904
Provider Name (Legal Business Name): JOELLE DUSSUYER L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/09/2011
Last Update Date: 09/25/2026
Certification Date: 09/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

820 ALSACE LORAINE AVE
HALF MOON BAY CA
94019-1864
US

IV. Provider business mailing address

820 ALSACE LORAINE AVE
HALF MOON BAY CA
94019-1864
US

V. Phone/Fax

Practice location:
  • Phone: 415-596-7401
  • Fax:
Mailing address:
  • Phone: 415-596-7401
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC3227
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: