MEDICARE: DR. DUSTIN TODD SIENA L.AC., DIPL.AC. D.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	7304	CA

General Provider Information

NPI Number	:	1609042944
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DUSTIN TODD SIENA L.AC., DIPL.AC. D.AC

Provider Business Mailing Address
First Line	:	79 E DAILY DR
Second Line	:	SUITE # 288
City	:	CAMARILLO
State	:	CA
Zip	:	93010-5807
Country	:	US
Telephone Number	:	805-272-0019
Fax Number	:

Provider Business Practice Location Address
First Line	:	400 MOBIL AVE
Second Line	:	SUITE B-9
City	:	CAMARILLO
State	:	CA
Zip	:	93010-6338
Country	:	US
Telephone Number	:	805-272-0019
Fax Number	:

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

Provider Enumeration Date	:	05/06/2008
Last Update Date	:	05/13/2015

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