Organization
ACU-ORTHOPEDICS & METABOLIC CLINIC, MATRIX MEDI-SPA
Active
Other names
Acupuncture Orthopedics of Encinitas
Organization subpart
No
Provider details
NPI number
Authorized official
TASSY HENNESSY MSTOM, AAPOM, L.AC. (OWNER)
(760) 207-1264
Entity
Organization
Contact information
Practice address
345 SANTA FE DR, ENCINITAS, CA 92024-5132
(760) 207-1264
Mailing address
345 SANTA FE DR, ENCINITAS, CA 92024-5132
(760) 207-1264
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
AC8992
CA
261QA0006X
Ambulatory Fertility Facility
AC8992
CA
261QM1300X
Multi-Specialty Clinic/Center
Primary
AC8992
CA
261QP2300X
Primary Care Clinic/Center
AC8992
CA
261QP3300X
Pain Clinic/Center
AC8992
CA
Other
Enumeration date
05/06/2008
Last updated
05/06/2008
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