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NPI Code Detail

MEDICARE: ANGELA KIM PATRIARCA

MEDICARE: ANGELA KIM PATRIARCA
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
1171100000XAcupuncturist18287CA

General Provider Information

NPI Number : 1649742503
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANGELA KIM PATRIARCA
Provider Business Mailing Address
First Line : 2801 B ST # 243
Second Line :
City : SAN DIEGO
State : CA
Zip : 92102-2208
Country : US
Telephone Number : 323-377-2450
Fax Number :
Provider Business Practice Location Address
First Line : 2515 CAMINO DEL RIO S STE 110
Second Line :
City : SAN DIEGO
State : CA
Zip : 92108-3714
Country : US
Telephone Number : 619-688-0061
Fax Number : 619-688-0026
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/17/2018
Last Update Date : 12/17/2018

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Directions to “ ANGELA KIM PATRIARCA ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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