Sarah J Allen, L.AC, DIPL. O.M
Individual provider Active NPI Acupuncturist · Soquel, CA
NPI 1104155514 · NPPES record last updated Apr 12, 2013
Key facts
- NPI
- 1104155514
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acupuncturist 171100000X
- License
- AC13241 (CA)
- Practice address
- 3065 Porter St Ste 105
Soquel, CA 95073-2231 - Phone
- (831) 334-0161
- NPI assigned
- Dec 14, 2009
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AC13241 | CA | MD | Acupuncturist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acupuncturist | 171100000X | AC13241 | CA | Yes |
Addresses
Primary practice location
3065 Porter St Ste 105
Soquel, CA 95073-2231
Mailing address
23 Acacia Way
Santa Cruz, CA 95062-1313
Phone (831) 334-0161
Other providers in Soquel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 12, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.