Healthcare Provider Details

I. General information

NPI: 1619440013
Provider Name (Legal Business Name): SAN FRANCISCO COMMUNITY ACUPUNCTURE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2019
Last Update Date: 01/08/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

220 VALENCIA ST
SAN FRANCISCO CA
94103-2318
US

IV. Provider business mailing address

220 VALENCIA ST
SAN FRANCISCO CA
94103-2318
US

V. Phone/Fax

Practice location:
  • Phone: 415-675-8973
  • Fax: 415-707-2056
Mailing address:
  • Phone: 415-675-8973
  • Fax: 415-707-2056

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: DR. REBEKAH VICTORIA SITTY
Title or Position: CO-OWNER
Credential: LAC
Phone: 415-675-8973