Individual
GHONCHEH AYAZI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LAC, DTCM
Contact information
Practice address
3911 FIFTH AVE STE 208, SAN DIEGO, CA 92103-3146
(858) 333-7688
Mailing address
1851 31ST ST, SAN DIEGO, CA 92102-1107
(818) 636-2683
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
18992
CA
Other
Enumeration date
02/28/2022
Last updated
02/28/2022
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