Doctor Name: | JOHN MAYER |
NPI Number: | 1073699674 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DC, PHD |
License Number: | DC26637 |
Business Practice Address: | 3444 Kearny Villa Rd Ste 205 San Diego, CA - 921231960 |
Business Phone Number: | 8585739368 |
Business Fax Number: | 8588740582 |
Mailing Address: | 8440 Via Sonoma Unit 78, LA JOLLA |
State: | CA |
Postal Code: | 920372724 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 10/27/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111N00000X |
License Number: | DC26637 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider qualified by a Doctor of Chiropractic (D.C.), licensed by the State and who practices chiropractic medicine -that discipline within the healing arts which deals with the nervous system and its relationship to the spinal column and its interrelationship with other body systems. |