Mark Frederick Herro, LAC

Individual provider Active NPI Acupuncturist · Carmel Valley, CA

NPI 1386722502 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1386722502
Entity type
Individual (NPI type 1)
Primary specialty
Acupuncturist 171100000X
License
AC10890 (CA)
Practice address
6 Del Fino Place
Carmel Valley, CA 93924
Phone
(831) 659-5180
Fax
(831) 659-7569
NPI assigned
Nov 2, 2006
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
AC10890CAMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Smith Wolff Chiropractic Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Acupuncturist 171100000X AC10890 CA Yes

Addresses

Primary practice location

6 Del Fino Place
Carmel Valley, CA 93924

Mailing address

26 Paco Mediano
Carmel Valley, CA 93924
Phone (831) 331-6110

Other providers in Carmel Valley, CA

All providers in Carmel Valley, CA · Acupuncturist in California

Sources for this page

Verify at the official NPI Registry.