Provider Demographics
NPI:1104537679
Name:DR. SAKYA INTEGRATIVE WELLNESS CENTER, INC
Entity type:Organization
Organization Name:DR. SAKYA INTEGRATIVE WELLNESS CENTER, INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED ACUPUNCTURIST
Authorized Official - Prefix:DR
Authorized Official - First Name:NAMRATA
Authorized Official - Middle Name:
Authorized Official - Last Name:SAKYA
Authorized Official - Suffix:
Authorized Official - Credentials:DACM
Authorized Official - Phone:619-294-6616
Mailing Address - Street 1:3080 N PARK WAY
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92104-3625
Mailing Address - Country:US
Mailing Address - Phone:619-294-6616
Mailing Address - Fax:619-294-6618
Practice Address - Street 1:3080 N PARK WAY
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92104-3625
Practice Address - Country:US
Practice Address - Phone:619-294-6616
Practice Address - Fax:619-294-6618
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-06
Last Update Date:2022-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171100000XOther Service ProvidersAcupuncturistGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No202D00000XAllopathic & Osteopathic PhysiciansIntegrative MedicineGroup - Multi-Specialty
No261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth ServiceGroup - Multi-Specialty