MEDICARE: DR. KAREN RENE ROHRBAUGH DAOM, L.AC.

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
1	171100000X	Acupuncturist	CA10643	CA
2	171100000X	Acupuncturist	10643	CA

General Provider Information

NPI Number	:	1063550663
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. KAREN RENE ROHRBAUGH DAOM, L.AC.

Provider Business Mailing Address
First Line	:	3023 BUNKER HILL STREET
Second Line	:	SUITE 201
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-5706
Country	:	US
Telephone Number	:	619-818-2358
Fax Number	:	858-750-3500

Provider Business Practice Location Address
First Line	:	3023 BUNKER HILL STREET
Second Line	:	SUITE 201
City	:	SAN DIEGO
State	:	CA
Zip	:	92109-5706
Country	:	US
Telephone Number	:	619-818-2358
Fax Number	:	858-750-3500

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/03/2007
Last Update Date	:	01/28/2019

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