Oden, Marcella Raquel

Oden, Marcella Raquel is an sole proprietor health care provider with primary practice located at 4415 Genesee Ave , San Diego CA 92117-3005. She recently has 3 registered licenses in different health care specialties including Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, Other Service Providers / Acupuncturist, Other Service Providers / Military Health Care Provider. Other Service Providers / Acupuncturist is her primary health care specialty. Oden, Marcella Raquel can be contacted via phone (619) 800-1974.

Contact Information

Primary practice address
4415 Genesee Ave San Diego CA 92117-3005
Phone: (619) 800-1974
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X 27789 California
Other Service Providers / Acupuncturist 171100000X 19467 California
Other Service Providers / Military Health Care Provider 171000000X PT27789 California

Profile Details

NPI number 1316929060
LBN Legal business name Oden, Marcella Raquel
Credentials PT, DPT, DACM, L.AC.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Nov 17th, 2005
Last updated Jan 22nd, 2024 - about last year

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1316929060 NPPES
California Other 19467 ACUPUNCTURE LICENSE
California Other AP4491 ACUPUNCTURE LICENSE
California Other PT27789 ACUPUNCTURE LICENSE

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