Most Relevant Information
Provider Data
| NPI Number: | 1003057761 |
| Provider Name: | VASA MIK L.AC |
| Entity Type: | Individual |
| Taxonomy Code: | 171100000X |
| Specialty: | Acupuncturist |
| License Number: | AC 11520 |
Most Important Dates
| Enumeration Date: | 03/10/2009 |
| Last Updated: | 03/10/2009 |
Provider Practice Location
1804 CABLE ST STE B
SAN DIEGO
CA
921073103
Practice Location Phone/Fax
| Phone: | 6192435109 |
| Fax: | 6192435113 |
Provider Mailing Location
1804 CABLE ST STE B
SAN DIEGO
CA
921073103
Provider Mailing Phone/Fax
| Phone: | 6192435109 |
| Fax: | 6192435113 |