MEDICARE: CARMELA YERKES 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	15100	CA

General Provider Information

NPI Number	:	1457695017
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CARMELA YERKES L.AC

Provider Business Mailing Address
First Line	:	7770 REGENTS RD
Second Line	:	113-126
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1937
Country	:	US
Telephone Number	:	858-213-9679
Fax Number	:

Provider Business Practice Location Address
First Line	:	7770 REGENTS RD
Second Line	:	113-126
City	:	SAN DIEGO
State	:	CA
Zip	:	92122-1937
Country	:	US
Telephone Number	:	858-213-9679
Fax Number	:

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

Provider Enumeration Date	:	11/20/2012
Last Update Date	:	11/20/2012

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Directions to “ CARMELA YERKES L.AC” Practice Location

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