Provider Demographics
NPI:1083598221
Name:TURNER, CARLY (DACM, LAC)
Entity type:Individual
Prefix:
First Name:CARLY
Middle Name:
Last Name:TURNER
Suffix:
Gender:F
Credentials:DACM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4882 MOUNT CASAS DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92117-4827
Mailing Address - Country:US
Mailing Address - Phone:510-396-6378
Mailing Address - Fax:
Practice Address - Street 1:2515 CAMINO DEL RIO S STE 140
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-3767
Practice Address - Country:US
Practice Address - Phone:619-294-2225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-01
Last Update Date:2025-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA20396171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist