Healthcare Provider Details

I. General information

NPI: 1245472927
Provider Name (Legal Business Name): CAOILI ACUPUNCTURE SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2009
Last Update Date: 03/27/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1615 SWEETWATER RD STE. J
NATIONAL CITY CA
91950-7655
US

IV. Provider business mailing address

1615 SWEETWATER RD STE. J
NATIONAL CITY CA
91950-7655
US

V. Phone/Fax

Practice location:
  • Phone: 619-474-8649
  • Fax: 619-474-8817
Mailing address:
  • Phone: 619-474-8649
  • Fax: 619-474-8817

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 8111
License Number StateCA

VIII. Authorized Official

Name: MR. RAUL LLOREN CAOILI
Title or Position: PRESIDENT/ACUPUNCTURIST
Credential: L. AC.
Phone: 619-474-8649