Healthcare Provider Details

I. General information

NPI: 1396506747
Provider Name (Legal Business Name): TURN TO ACUPUNCTURE AND WELLNESS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2024
Last Update Date: 01/22/2024
Certification Date: 01/22/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4415 GENESEE AVE
SAN DIEGO CA
92117-3005
US

IV. Provider business mailing address

315 B AVE
CORONADO CA
92118-1925
US

V. Phone/Fax

Practice location:
  • Phone: 619-800-1974
  • Fax:
Mailing address:
  • Phone: 619-800-1974
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code2251X0800X
TaxonomyOrthopedic Physical Therapist
License Number
License Number State

VIII. Authorized Official

Name: MARCELLA ODEN
Title or Position: PRESIDENT
Credential: PT, DPT, DACM, L.AC.
Phone: 808-783-4330