Healthcare Provider Details

I. General information

NPI: 1952513731
Provider Name (Legal Business Name): JUTTA KUHN L.AC.
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/04/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3737 MORAGA AVENUE SUITE A-5
SAN DIEGO CA
92117-5404
US

IV. Provider business mailing address

3737 MORAGA AVENUE SUITE A-5
SAN DIEGO CA
92117-5404
US

V. Phone/Fax

Practice location:
  • Phone: 858-272-8215
  • Fax:
Mailing address:
  • Phone: 858-272-8215
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171100000X
TaxonomyAcupuncturist
License NumberAC 7345
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: