Provider Demographics
NPI:1902969181
Name:NARAYAN, SRINIKA (LAC)
Entity Type:Individual
Prefix:
First Name:SRINIKA
Middle Name:
Last Name:NARAYAN
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7 CARPENTER CT
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94124-4429
Mailing Address - Country:US
Mailing Address - Phone:415-648-9333
Mailing Address - Fax:415-648-9333
Practice Address - Street 1:3705 17TH ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-2021
Practice Address - Country:US
Practice Address - Phone:415-608-5174
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-18
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CACA 8922171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist