Healthcare Provider Details

I. General information

NPI: 1538952361
Provider Name (Legal Business Name): LA PALMA ACUPUNCTURE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2025
Last Update Date: 05/24/2025
Certification Date: 05/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1780 FREMONT BLVD STE A
SEASIDE CA
93955-3629
US

IV. Provider business mailing address

1780 FREMONT BLVD STE A
SEASIDE CA
93955-3629
US

V. Phone/Fax

Practice location:
  • Phone: 831-332-3656
  • Fax: 831-855-0107
Mailing address:
  • Phone: 831-332-3656
  • Fax: 831-855-0107

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: LALITA PRIYA KIRKMAN
Title or Position: PRESIDENT
Credential: L.AC
Phone: 831-332-3656