Healthcare Provider Details

I. General information

NPI: 1831859891
Provider Name (Legal Business Name): EN ACUPUNCTURE & HERBOLOGY, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/17/2021
Last Update Date: 11/13/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1545 HOTEL CIR S STE 120
SAN DIEGO CA
92108-3414
US

IV. Provider business mailing address

1545 HOTEL CIR S STE 120
SAN DIEGO CA
92108-3414
US

V. Phone/Fax

Practice location:
  • Phone: 619-693-8559
  • Fax: 619-413-6303
Mailing address:
  • Phone: 619-693-8559
  • Fax: 619-413-6303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number
License Number State

VIII. Authorized Official

Name: EVELYN OHASHI
Title or Position: OWNER
Credential: DACM, L.AC, DIP O.M
Phone: 619-693-8559