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NPI Code Detail

MEDICARE: THE INN SPOT COMMUNITY ACUPUNCTURE & STRESS RELIEF LOUNGE

MEDICARE: THE INN SPOT COMMUNITY ACUPUNCTURE & STRESS RELIEF LOUNGE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QP3300XPain Clinic/CenterCA
2251S00000XCommunity/Behavioral Health AgencyCA
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)CA
4261QM1300XMulti-Specialty Clinic/CenterCA
5324500000XSubstance Abuse Rehabilitation FacilityCA
6261QC1500XCommunity Health Clinic/CenterCA

General Provider Information

NPI Number : 1053891432
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE INN SPOT COMMUNITY ACUPUNCTURE & STRESS RELIEF LOUNGE
Provider Business Mailing Address
First Line : 1621 HOTEL CIR S # 128
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3323
Country : US
Telephone Number : 619-322-2713
Fax Number :
Provider Business Practice Location Address
First Line : 3505 CAMINO DEL RIO S STE 338
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-4017
Country : US
Telephone Number : 619-550-5200
Fax Number : 619-550-5300
Authorized Official
Title or Position : OWNER
Name : GUY PAGE
Credential :
Telephone Number : 619-322-2713
Provider Enumeration Date : 08/15/2018
Last Update Date : 06/11/2019

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1851933394 — JOANNE BEVERLY HANN LCSW
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1720713274 — RYANNE GIORGIONE
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Directions to “THE INN SPOT COMMUNITY ACUPUNCTURE & STRESS RELIEF LOUNGE ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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