Healthcare Provider Details

I. General information

NPI: 1063940351
Provider Name (Legal Business Name): MORGAN ZAPALAC DACCHM
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/31/2017
Last Update Date: 01/21/2025
Certification Date: 01/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

15644 POMERADO RD STE 306
POWAY CA
92064-2419
US

IV. Provider business mailing address

201 E GRAND AVE STE 2A
ESCONDIDO CA
92025-2818
US

V. Phone/Fax

Practice location:
  • Phone: 517-375-3982
  • Fax:
Mailing address:
  • Phone: 517-375-3982
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC20239
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: