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NPI Code Detail

MEDICARE: SAVANNAH GEIVET L.AC

MEDICARE: SAVANNAH GEIVET 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
1171100000XAcupuncturist20652CA

General Provider Information

NPI Number : 1174455612
Entity Type Code : Individual
Provider Name (Legal Business Name) : SAVANNAH GEIVET L.AC
Provider Business Mailing Address
First Line : 4083 ALBATROSS ST APT 3
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-1945
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4083 ALBATROSS ST APT 3
Second Line :
City : SAN DIEGO
State : CA
Zip : 92103-1945
Country : US
Telephone Number : 805-624-2884
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/01/2026
Last Update Date : 06/01/2026

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Directions to “ SAVANNAH GEIVET L.AC” Practice Location

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