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

Mr. Jared Andersen, LAC

Individual provider Acupuncturist · NPI 1225272479

Mr. Jared Andersen, LAC is an Acupuncturist in San Diego, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2009
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

4002 Park Blvd Ste E
San Diego, CA 92103-2600
Phone: (858) 204-5816
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 12905 (CA)

Record details

NPI number1225272479
Entity typeIndividual (Type 1)
GenderMale
Credentials LAC
Sole proprietorYes
NPI enumeratedApril 30, 2009
Last updated in NPPESApril 30, 2009
Mailing address4002 Park Blvd, Suite E, San Diego, CA 92103-2600

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