Healthcare Provider Details

I. General information

NPI: 1609765585
Provider Name (Legal Business Name): KIMBERLY WEINREICH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/02/2025
Last Update Date: 07/02/2025
Certification Date: 07/02/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 MAIN ST STE 104
RAMONA CA
92065-5242
US

IV. Provider business mailing address

1516 MAIN ST STE 104
RAMONA CA
92065-5242
US

V. Phone/Fax

Practice location:
  • Phone: 760-896-1333
  • Fax:
Mailing address:
  • Phone: 760-896-1333
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: