Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Niko Sadat Detra, DACM, LAC

Individual provider Acupuncturist · NPI 1790671378

Dr. Niko Sadat Detra, DACM, LAC is an Acupuncturist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2025
What do these letters mean?
LAC — Licensed Associate Counselor
A counsellor practising under supervision toward full licensure. In some states the same letters mean Licensed Acupuncturist.

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Practice location Address checks out

3503 4th Ave
San Diego, CA 92103-4912
Phone: (619) 844-1602
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence AC20299 (CA)

Record details

NPI number1790671378
Entity typeIndividual (Type 1)
GenderFemale
Credentials DACM , LAC
Sole proprietorYes
NPI enumeratedJune 17, 2025
Last updated in NPPESJuly 30, 2025
Certification dateJuly 30, 2025

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