Organization Name: | PINNACLE SPECIFIC CHIROPRACTIC |
NPI Number: | 1073724845 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | RAFAEL ALEJANDRO LOPEZ (OWNER) |
Mailing Address: | 109 Alder St Soledad |
State: | CA US |
Postal Code: | 939603003 |
Phone Number: | 8316785099 |
Fax Number: | 8316785097 |
NPI Enumeration Date: | 05/24/2007 |
NPI Last Update Date: | 12/14/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 111NT0100X |
License Number: | DC-30392 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Chiropractic Providers |
Taxonomy Classification: | Chiropractor |
Taxonomy Specialization: | Thermography |
Taxonomy Definition: |