MEDICARE: SAVANNAH CRYAR DACM

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	20249	CA

General Provider Information

NPI Number	:	1528943057
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAVANNAH CRYAR DACM

Provider Business Mailing Address
First Line	:	1664 OLMEDA ST
Second Line	:
City	:	ENCINITAS
State	:	CA
Zip	:	92024-4831
Country	:	US
Telephone Number	:	337-240-1717
Fax Number	:

Provider Business Practice Location Address
First Line	:	6051 BUSINESS CENTER CT
Second Line	:
City	:	SAN DIEGO
State	:	CA
Zip	:	92154-6641
Country	:	US
Telephone Number	:	619-288-3189
Fax Number	:

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

Provider Enumeration Date	:	08/05/2025
Last Update Date	:	08/05/2025

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