Search › California › 111N00000X
Dirk Kancilia, DC
NPI 1477797579 · on the registry since 2009 · sole proprietor
Practice
- Address
- 16980 Via Tazon
160
San Diego, CA 92127 - Phone
- (858) 345-4114
- Fax
- (858) 679-8411
- Organisation at this address
- Sanctuary Massage
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 111N00000X
111N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2010-10-01
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California