Provider Demographics
NPI:1528954526
Name:CAMELIO, ADRIANA CAROLINA (DACM)
Entity type:Individual
Prefix:DR
First Name:ADRIANA
Middle Name:CAROLINA
Last Name:CAMELIO
Suffix:
Gender:F
Credentials:DACM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1635 ROSECRANS ST
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-2278
Mailing Address - Country:US
Mailing Address - Phone:619-326-8051
Mailing Address - Fax:
Practice Address - Street 1:1635 ROSECRANS ST
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-2278
Practice Address - Country:US
Practice Address - Phone:619-326-8051
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC20298171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist