Provider Demographics
NPI:1538450556
Name:UPTOWN ACUPUNCTURE
Entity type:Organization
Organization Name:UPTOWN ACUPUNCTURE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACUPUNCTURIST
Authorized Official - Prefix:
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:PFEIFFER
Authorized Official - Suffix:
Authorized Official - Credentials:LAC
Authorized Official - Phone:619-339-9980
Mailing Address - Street 1:1281 UNIVERSITY AVE
Mailing Address - Street 2:#E
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92103-7330
Mailing Address - Country:US
Mailing Address - Phone:619-339-9980
Mailing Address - Fax:619-260-1431
Practice Address - Street 1:1281 UNIVERSITY AVE
Practice Address - Street 2:#E
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-7330
Practice Address - Country:US
Practice Address - Phone:619-339-9980
Practice Address - Fax:619-260-1431
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-25
Last Update Date:2011-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8484171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Single Specialty