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

Individual provider Acupuncturist · NPI 1053902262

Myra Bautista, LAC is an Acupuncturist in Berkeley, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2021
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

2801 Cherry St Apt 2
Berkeley, CA 94705-2303
Phone: (510) 833-3589
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Acupuncturist (primary) Taxonomy 171100000X · Licence 18676 (CA)

Record details

NPI number1053902262
Entity typeIndividual (Type 1)
GenderFemale
Credentials LAC
Sole proprietorYes
NPI enumeratedJanuary 30, 2021
Last updated in NPPESJanuary 30, 2021
Certification dateJanuary 29, 2021

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