Provider Demographics
NPI:1699358663
Name:SAVROSA, RAYNA LEONORA (LAC, DACM)
Entity type:Individual
Prefix:DR
First Name:RAYNA
Middle Name:LEONORA
Last Name:SAVROSA
Suffix:
Gender:F
Credentials:LAC, DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3900 IRVING ST
Mailing Address - Street 2:
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94122-1217
Mailing Address - Country:US
Mailing Address - Phone:415-429-1567
Mailing Address - Fax:
Practice Address - Street 1:3900 IRVING ST
Practice Address - Street 2:
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94122-1217
Practice Address - Country:US
Practice Address - Phone:415-429-1567
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-28
Last Update Date:2024-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA18997171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist