Provider Demographics
NPI:1689349490
Name:WEBBER, JAMES DYLAN (DACM, MSTOM, LAC)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:DYLAN
Last Name:WEBBER
Suffix:
Gender:
Credentials:DACM, MSTOM, LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3065 ROSECRANS PL STE 108
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92110-4854
Mailing Address - Country:US
Mailing Address - Phone:619-244-0424
Mailing Address - Fax:
Practice Address - Street 1:3065 ROSECRANS PL STE 108
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92110-4854
Practice Address - Country:US
Practice Address - Phone:619-640-0321
Practice Address - Fax:619-435-3158
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-13
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAC19203171100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171100000XOther Service ProvidersAcupuncturist