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PINE STREET CLINIC LLC
NPI 1801194303
Acupuncturist in San Anselmo, CA

Active since March 08, 2011
124 PINE ST, SAN ANSELMO, CA 94960(415) 485-0484 Get Directions Write a Review

NPPES record last updated: March 8, 2011. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Pine Street Clinic Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PINE STREET CLINIC LLC (NPI 1801194303) is a healthcare organization registered as an acupuncturist in San Anselmo, California and active in the NPI registry since March 2011. The organization lists Michael Broffman, Member, as its authorized official.

NPPES Registry Identity

NPI1801194303
Entity TypeOrganization
Primary Taxonomy171100000X
Legal Business NamePINE STREET CLINIC LLC
Location Address124 PINE STSan Anselmo, CA 94960-2602
Mailing Address124 Pine StSan Anselmo, CA 94960-2602 · (415) 485-0484
Phone(415) 485-0484
Organization SubpartNo
Authorized OfficialMichael BroffmanMember · (415) 485-0484
Enumeration DateMarch 8, 2011
✔ NPI 1801194303 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAcupuncturistOther Service Providers
Taxonomy Code171100000X
License✔ Licensed in CA · 1140
Definition
An acupuncturist is a person who performs ancient therapy for alleviation of pain, anesthesia and treatment of some diseases. Acupuncturists use long, fine needles inserted into specific points in order to treat painful conditions or produce anesthesia.
124 PINE ST, San Anselmo, CA 94960
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Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LINDSEY HAYES KOELMAN L.AC
Acupuncturist
124 PINE ST
SAN ANSELMO, CA 94960
Marin County (415) 407-0528
MICHAEL MCCULLOCH LAC
Acupuncturist
124 PINE ST
SAN ANSELMO, CA 94960
Marin County (415) 407-1357
DR. JENNIFER LOUISE CLEMONS ND, LAC
Naturopath
124 PINE ST
SAN ANSELMO, CA 94960
Marin County (415) 450-0114
JACQUES ACHSEN
Acupuncturist
124 PINE ST
SAN ANSELMO, CA 94960
Marin County (415) 717-8283
MICHAEL BROFFMAN LAC
Acupuncturist
124 PINE ST
SAN ANSELMO, CA 94960
Marin County (415) 485-0484

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Pine Street Clinic LLC's NPI number?

The NPI number for Pine Street Clinic LLC is 1801194303. It was assigned to this organization in the NPPES registry on March 8, 2011.

Where is Pine Street Clinic LLC located?

Pine Street Clinic LLC is located at 124 Pine St, San Anselmo, CA 94960. The listed phone number is (415) 485-0484.

What is Pine Street Clinic LLC's specialty?

The primary specialty registered for this NPI is Acupuncturist with taxonomy code 171100000X.

When was this NPI record last updated?

The NPPES record for Pine Street Clinic LLC was last updated on March 8, 2011. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.