Healthcare Provider Details

I. General information

NPI: 1366386070
Provider Name (Legal Business Name): MICHELLE MACALINTAL DACM, LAC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: MICHELLE MAC DACM, LAC.

II. Dates (important events)

Enumeration Date: 04/15/2026
Last Update Date: 04/15/2026
Certification Date: 04/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 WALNUT AVE
SAN DIEGO CA
92103-4903
US

IV. Provider business mailing address

27601 ALTA VISTA WAY
MENIFEE CA
92585-3934
US

V. Phone/Fax

Practice location:
  • Phone: 310-698-2219
  • Fax:
Mailing address:
  • Phone: 310-698-2219
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number20604
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: