Provider Demographics
NPI:1982154423
Name:MILLS, AARON (LAC)
Entity type:Individual
Prefix:
First Name:AARON
Middle Name:
Last Name:MILLS
Suffix:
Gender:M
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3962 NOBEL DR UNIT 201
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92122-5794
Mailing Address - Country:US
Mailing Address - Phone:858-900-6634
Mailing Address - Fax:
Practice Address - Street 1:609 S VULCAN AVE STE 201
Practice Address - Street 2:
Practice Address - City:ENCINITAS
Practice Address - State:CA
Practice Address - Zip Code:92024-3600
Practice Address - Country:US
Practice Address - Phone:858-230-7980
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-07
Last Update Date:2016-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC17340171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist