Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
PROF. TISHA MALLON, L.AC., DIPL.AC.
Active Sole ProprietorPROF. TISHA MALLON, L.AC., DIPL.AC. is a Acupuncturist healthcare provider located in CORTE MADERA, California. NPI 1588082911 is currently active in the NPPES registry. Verify at CMS.
Acupuncturist · CORTE MADERA, CA
Registration Details
- NPI Number
- 1588082911
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Apr 2, 2014 (12.186892493103 yrs)
- Last Updated
- Dec 18, 2019
- License
-
AC 4302 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
21 TAMAL VISTA BLVDCORTE MADERA, CA, 949251130Browse CA providers · Browse ZIP 94925
- Phone
- 4153783039
- Primary Specialty
-
Acupuncturist
171100000X
Other Acupuncturist Providers in CORTE MADERA, CA
| Name | Credential | NPI |
|---|---|---|
| MS. SUSAN TERESE FOX | DACM, L.AC. | 1982629218 |
| MR. DAVID BRYAN KITTS | L.AC. | 1942382122 |
| JYOTI ELIAS | LAC NCCA DIPL AE | 1548451792 |
| MS. ERICA ILANA TRUMBULL | L.AC. | 1700079175 |
| JEAN-LOUIS RICHIARDONE | MS, L.AC. | 1861784621 |
| ROSEMARY KIM | L.AC | 1679942403 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.