Provider Demographics
NPI:1588173629
Name:CARRA, BARBARA (DACM, LAC)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:
Last Name:CARRA
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:DR
Other - First Name:BARBARA
Other - Middle Name:
Other - Last Name:CARRA-MONGE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DACM, LAC
Mailing Address - Street 1:PO BOX 23613
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92193-3613
Mailing Address - Country:US
Mailing Address - Phone:619-252-0535
Mailing Address - Fax:
Practice Address - Street 1:1595 GRAND AVE STE 100
Practice Address - Street 2:
Practice Address - City:SAN MARCOS
Practice Address - State:CA
Practice Address - Zip Code:92078-2450
Practice Address - Country:US
Practice Address - Phone:760-736-6767
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-20
Last Update Date:2023-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA17561171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist