| |
2231a S El Camino Real, Oceanside, CA 92054 | |
(760) 722-9393 | |
(760) 722-2836 |
Full Name | |
---|---|
Type | Facility |
Speciality | Preferred Provider Organization |
Location | 2231a S El Camino Real, Oceanside, California |
Accepts Medicare Assignments | Does not participate in Medicare Program. The facility may not accept medicare assignment. |
Identifier | Type | State | Issuer |
---|---|---|---|
1528261484 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
111N00000X | Chiropractor | DC 29002 (California) | Secondary |
305R00000X | Preferred Provider Organization | DC29002 (California) | Primary |
Mailing Address | Practice Location Address |
---|---|
2231a S El Camino Real, Oceanside, CA 92054 Ph: (760) 722-9393 | 2231a S El Camino Real, Oceanside, CA 92054 Ph: (760) 722-9393 |