Provider Demographics
NPI:1265790604
Name:AYADI, NADIA (DTCM, LAC)
Entity type:Individual
Prefix:DR
First Name:NADIA
Middle Name:
Last Name:AYADI
Suffix:
Gender:F
Credentials:DTCM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4550 KEARNY VILLA RD STE 208
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-1565
Mailing Address - Country:US
Mailing Address - Phone:619-609-5300
Mailing Address - Fax:619-830-5605
Practice Address - Street 1:4550 KEARNY VILLA RD STE 208
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-1565
Practice Address - Country:US
Practice Address - Phone:619-609-5300
Practice Address - Fax:619-830-5605
Is Sole Proprietor?:No
Enumeration Date:2012-04-23
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA14621171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist