NPI Code Details Logo

NPI 1336015866

NPI 1336015866 : CALLISON HEALTH INC. : LA JOLLA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1336015866
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    CALLISON HEALTH INC. 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    10/13/2025
-----------------------------------------------------
    Last Update Date     |    10/13/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    3252 HOLIDAY CT STE 115 
-----------------------------------------------------
    City                 |    LA JOLLA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92037-1807
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    619-510-3099
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    3252 HOLIDAY CT STE 115 
-----------------------------------------------------
    City                 |    LA JOLLA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    92037-1807
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    619-510-3099
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CEO
-----------------------------------------------------
    Name                 |     TYLER  CALLISON 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    619-618-9936
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    171100000X
-----------------------------------------------------
    Taxonomy Name        |    Acupuncturist
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.